Provider Demographics
NPI:1255205167
Name:RESHMA DHAKE DDS LTD
Entity type:Organization
Organization Name:RESHMA DHAKE DDS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RESHMA
Authorized Official - Middle Name:
Authorized Official - Last Name:DHAKE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:773-847-6453
Mailing Address - Street 1:2550 OAK PARK AVE
Mailing Address - Street 2:
Mailing Address - City:BERWYN
Mailing Address - State:IL
Mailing Address - Zip Code:60402-4661
Mailing Address - Country:US
Mailing Address - Phone:708-788-9414
Mailing Address - Fax:
Practice Address - Street 1:2550 OAK PARK AVE
Practice Address - Street 2:
Practice Address - City:BERWYN
Practice Address - State:IL
Practice Address - Zip Code:60402-4661
Practice Address - Country:US
Practice Address - Phone:708-788-9414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RESHMA DHAKE DDS LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty