GALLERIA DENTAL
NPI 1124428099
Dentist - General Practice in Mundelein, IL

Active since August 28, 2014
1535 S LAKE ST, MUNDELEIN, IL 60060(847) 566-1900(847) 566-1904 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2020, Feb 28, 2020 (2 updates tracked since 2020).

About Galleria Dental NPPES

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

GALLERIA DENTAL (NPI 1124428099) is a healthcare organization registered as a general practice in Mundelein, Illinois and active in the NPI registry since August 2014. The organization lists Sohail S Shafi, Manager, as its authorized official.

NPPES Registry Identity

NPI1124428099
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGALLERIA DENTAL
Location Address1535 S LAKE STMundelein, IL 60060-4210
Mailing Address1730 Park St Ste 106Naperville, IL 60563-2609 · (847) 566-1900 · Fax (847) 566-1904
Fax(847) 566-1904
Organization SubpartYesParent: Ashton Dental Pc
Authorized OfficialSohail S ShafiManager · (630) 842-3705
Enumeration DateAugust 28, 2014
Last NPPES UpdateDecember 10, 20202 updates tracked since enumeration
NPPES CertifiedDecember 10, 2020
NPI 1124428099 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.
1535 S LAKE ST, Mundelein, IL 60060

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.

Dentist (General Practice)
1535 S LAKE ST
MUNDELEIN, IL 60060

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 Galleria Dental's NPI number?

The NPI number for Galleria Dental is 1124428099. It was assigned to this organization in the NPPES registry on August 28, 2014.

Where is Galleria Dental located?

Galleria Dental is located at 1535 S Lake St, Mundelein, IL 60060. The listed phone number is (847) 566-1900.

What is Galleria Dental'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 Galleria Dental was last updated on December 10, 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.