COMPASS DENTAL, P.C.
NPI 1104174374
Dentist - General Practice in Chicago, IL

Active since August 20, 2012
4413 N CLARK ST, CHICAGO, IL 60640(785) 979-5147 Get Directions Write a Review

NPPES record last updated: August 20, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Compass Dental, P.c. NPPES

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

COMPASS DENTAL, P.C. (NPI 1104174374) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since August 2012. The organization lists Brandon Prusa, President, as its authorized official.

NPPES Registry Identity

NPI1104174374
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCOMPASS DENTAL, P.C.
Location Address4413 N CLARK STChicago, IL 60640-5403
Mailing Address2348 N Lister Ave, #407Chicago, IL 60614-2994 · (785) 979-5147
Organization SubpartNo
Authorized OfficialBrandon PrusaPresident · (785) 979-5147
Enumeration DateAugust 20, 2012
NPI 1104174374 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.
4413 N CLARK ST, Chicago, IL 60640

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

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

Clinic/Center (Dental)
4413 N CLARK ST
CHICAGO, IL 60640

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 Compass Dental, P.C.'s NPI number?

The NPI number for Compass Dental, P.C. is 1104174374. It was assigned to this organization in the NPPES registry on August 20, 2012.

Where is Compass Dental, P.C. located?

Compass Dental, P.C. is located at 4413 N Clark St, Chicago, IL 60640. The listed phone number is (785) 979-5147.

What is Compass Dental, P.C.'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 Compass Dental, P.C. was last updated on August 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.