DENTAL MAGIC
NPI 1104274109
Dentist - General Practice in Chicago, IL

Q: What is Dental Magic North Ave, Inc's NPI number?

The NPI number for Dental Magic North Ave, Inc is 1104274109. It was assigned to this organization in the NPPES registry on May 31, 2016. The provider is doing business as Dental Magic.

Q: What is Dental Magic North Ave, Inc's specialty?

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

Active since May 31, 2016

2500 W NORTH AVE, CHICAGO, IL 60647(773) 360-1281(773) 360-1285 Get Directions Write a Review

NPPES record last updated: May 31, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dental Magic NPPES

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

DENTAL MAGIC (NPI 1104274109) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since May 2016. The organization lists Sawsan Asfour, Owner, as its authorized official.

NPPES Registry Identity

NPI1104274109

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameDENTAL MAGIC NORTH AVE, INC

Location Address2500 W NORTH AVEChicago, IL 60647-5202

Mailing Address2500 W North AveChicago, IL 60647-5202 · (773) 360-1281 · Fax (773) 360-1285

Phone(773) 360-1281

Fax(773) 360-1285

Organization SubpartNo

Authorized OfficialSawsan AsfourOwner · (773) 360-1281

Enumeration DateMay 31, 2016

✔ NPI 1104274109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 019024297

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.

2500 W NORTH AVE, Chicago, IL 60647

Open in Google Maps ↗

Other Names 1

Doing Business AsDental Magic

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 4

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

D2 DENTAL OF LANSING, P.C.

Dentist (General Practice)

2500 W NORTH AVE
CHICAGO, IL 60647

Cook County (773) 360-1281

DR. KYLE JOSEPH FAIRBANKS DMD

Dentist

2500 W NORTH AVE
CHICAGO, IL 60647

Cook County (773) 360-1281

DR. NASIM KHOSHFETRAT DMD

Dentist

2500 W NORTH AVE
CHICAGO, IL 60647

Cook County (773) 360-1281

DENTAL 360-BUCKTOWN LLC

Dentist (General Practice)

2500 W NORTH AVE
CHICAGO, IL 60647

Cook County (773) 360-1281

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 Dental Magic North Ave, Inc's NPI number?

The NPI number for Dental Magic North Ave, Inc is 1104274109. It was assigned to this organization in the NPPES registry on May 31, 2016. The provider is doing business as Dental Magic.

Where is Dental Magic North Ave, Inc located?

Dental Magic North Ave, Inc is located at 2500 W North Ave, Chicago, IL 60647. The listed phone number is (773) 360-1281.

What is Dental Magic North Ave, Inc'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 Dental Magic North Ave, Inc was last updated on May 31, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.