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CITY KIDS DENTAL, PC
NPI 1013068972
Dentist - Pediatric Dentistry in Chicago, IL

Active since January 16, 2007
4700 N WESTERN AVE, SUITE 1A, CHICAGO, IL 60625(773) 293-2700(773) 293-3854 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About City Kids Dental, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CITY KIDS DENTAL, PC (NPI 1013068972) is a healthcare organization registered as a pediatric dentistry in Chicago, Illinois and active in the NPI registry since January 2007. The organization lists Mary Elizabeth Tierney, President, as its authorized official.

NPPES Registry Identity

NPI1013068972
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCITY KIDS DENTAL, PC
Location Address4700 N WESTERN AVE, SUITE 1AChicago, IL 60625-2081
Mailing Address4700 N Western Ave, Suite 1aChicago, IL 60625-2081 · (773) 293-2700 · Fax (773) 293-3854
Phone(773) 293-2700
Fax(773) 293-3854
Organization SubpartNo
Authorized OfficialMary Elizabeth TierneyPresident · (773) 293-2700
Enumeration DateJanuary 16, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1013068972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
4700 N WESTERN AVE, Chicago, IL 60625
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CARE ADVOCATE PSYCHIATRIC MANAGEMENT, INC.
Psychiatry & Neurology (Psychiatry)
4700 N WESTERN AVE, STE. 1B
CHICAGO, IL 60625
Cook County (773) 334-8580
JACK N POWITZ MD
Psychiatry & Neurology (Psychiatry)
4700 N WESTERN AVE, STE. 1B
CHICAGO, IL 60625
Cook County (773) 334-8580
DR. MARY ELIZABETH TIERNEY D.D.S., M.S.
Dentist (Pediatric Dentistry)
4700 N WESTERN AVE, SUITE 1A
CHICAGO, IL 60625
Cook County (773) 293-2700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is City Kids Dental, PC's NPI number?

The NPI number for City Kids Dental, PC is 1013068972. It was assigned to this organization in the NPPES registry on January 16, 2007.

Where is City Kids Dental, PC located?

City Kids Dental, PC is located at 4700 N Western Ave Suite 1A, Chicago, IL 60625. The listed phone number is (773) 293-2700.

What is City Kids Dental, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for City Kids Dental, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.