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Active NPI 1578144556 Individual Practitioner Male Practitioner

Dr. Athanasios Nicolozakes , DDS

Dentist • Oak Lawn, IL

Professional Overview & Biography Verified Profile Summary

Dr. Athanasios Nicolozakes, DDS is a registered healthcare professional specializing in Dentist in Oak Lawn, IL. Practice services are available at 4560 W 103RD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4560 W 103rd St

Oak Lawn, IL 604534869

Telephone 7084235155
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Oak Lawn, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
41 Specialists

Practicing in Oak Lawn, IL (4751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-08-22
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019.033194

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

1144 Lake St Ste 213

Oak Park, IL 603011043

Phone: 7082953243

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Andrew Sampalis , DDS

Dentist - General Practice

NPI 1659538445

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 22, 2022

Registered at 4560 W 103RD ST, OAK LAWN, IL 604534869 (Tel: 7084235155)

📍
Updated Business Mailing Address August 22, 2022

Registered at 4560 W 103RD ST, OAK LAWN, IL 604534869 (Tel: 7084235155)

NPI Profile Active April 20, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location April 20, 2021

Registered at 5841 S MARYLAND AVE, CHICAGO, IL 606371443 (Tel: 8475702380)

📍
Updated Business Mailing Address April 20, 2021

Registered at 180 HARVESTER DR STE 110, BURR RIDGE, IL 605276686 (Tel: 7737021150)

👤
Provider Name / Credentials Updated April 20, 2021

Recorded as ATHANASIOS NICOLOZAKES, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 20, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578144556
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2021
Last Update: August 22, 2022
Sole Proprietor: No

Mailing Address

4560 W 103rd St

Oak Lawn, IL 604534869

Phone: 7084235155

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.