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TIMOTHY THEOBALD DDS PLLC
NPI 1053255901
Dentist - General Practice in North Chicago, IL

Active since April 20, 2026
2127 GREEN BAY RD, NORTH CHICAGO, IL 60064(847) 336-8478 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2026, Apr 29, 2026, Apr 20, 2026 (3 updates tracked since 2026).

About Timothy Theobald Dds Pllc NPPES

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

TIMOTHY THEOBALD DDS PLLC (NPI 1053255901) is a healthcare organization registered as a general practice in North Chicago, Illinois and active in the NPI registry since April 2026. The organization lists Timothy David Theobald, Lead Dentist, as its authorized official.

NPPES Registry Identity

NPI1053255901
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTIMOTHY THEOBALD DDS PLLC
Location Address2127 GREEN BAY RDNorth Chicago, IL 60064-2801
Mailing Address2127 Green Bay RdNorth Chicago, IL 60064-2801
Phone(847) 336-8478
Organization SubpartNo
Authorized OfficialTimothy David TheobaldLead Dentist · (847) 336-8478
Enumeration DateApril 20, 2026
Last NPPES UpdateMay 29, 20263 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1053255901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2127 GREEN BAY RD, North Chicago, IL 60064
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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 11

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

BARBARA R. LEWIS,DMD,PC
Dentist (General Practice)
2127 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 689-3800
KHAIRUNNISA SHAIKH D.D.D.S
Dentist (General Practice)
2127 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 689-3800
DR. BHARTI R PATIL D.D.S.
Dentist (General Practice)
2127 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 689-3800
G R KOZINA, DDS & ASSOC, LTD
Dentist (General Practice)
2127 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 689-3800
TIMOTHY THEOBALD D.M.D
Dentist (General Practice)
2127 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 336-8478
TIMOTHY THEOBALD DDS PLLC
Clinic/Center (Dental)
2127 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 336-8478
DR. RITU MALHOTRA D.D.S.
Dentist (General Practice)
2127 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 689-3800
DR. GUSTAV R KOZINA D.D.S.
Dentist (General Practice)
2127 GREEN BAY RD
NORTH CHICAGO, IL 60064
Lake County (847) 689-3800

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 Timothy Theobald Dds PLLC's NPI number?

The NPI number for Timothy Theobald Dds PLLC is 1053255901. It was assigned to this organization in the NPPES registry on April 20, 2026.

Where is Timothy Theobald Dds PLLC located?

Timothy Theobald Dds PLLC is located at 2127 Green Bay Rd, North Chicago, IL 60064. The listed phone number is (847) 336-8478.

What is Timothy Theobald Dds PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Timothy Theobald Dds PLLC was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.