Athanasios Nicolozakes, DDS

Dentist · Oak Lawn, IL

Individual Active NPI

NPI number 1578144556

Practice location

4560 W 103rd St
Oak Lawn, IL 60453-4869
Phone
(708) 423-5155

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NPI record

NPI
1578144556
Entity type
Individual (Type 1)
Enumeration date
April 20, 2021
Last updated
August 22, 2022
Certified
August 22, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 019.033194 IL
Student in an Organized Health Care Education/Training Program 390200000X — —

Other practice locations (1)

  • 1144 Lake St Ste 213, Oak Park, IL 60301-1043 · (708) 295-3243

About Dr. Nicolozakes

Athanasios Nicolozakes, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 4560 W 103rd St, Oak Lawn, IL 60453-4869. The NPI number 1578144556 was assigned on April 20, 2021 and the record was last updated on August 22, 2022.

Dr. Nicolozakes lists a license in the registry: #019.033194 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Athanasios Nicolozakes, DDS?

The NPI number is 1578144556.

What is the phone number of Dr. Nicolozakes?

The phone number listed for the practice location is (708) 423-5155.

Where is Dr. Nicolozakes located?

4560 W 103rd St, Oak Lawn, IL 60453-4869.

What is the taxonomy code for Dr. Nicolozakes?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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