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KEDZIE47 DENTAL
NPI 1144839424
Dentist - General Practice in Chicago, IL

Active since July 23, 2020
4721 S KEDZIE AVE, CHICAGO, IL 60632(773) 847-4444(630) 359-4933 Get Directions Write a Review

NPPES record last updated: October 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 14, 2021, Jul 23, 2020 (2 updates tracked since 2020).

About Kedzie47 Dental NPPES

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

KEDZIE47 DENTAL (NPI 1144839424) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since July 2020. The organization lists Muzaffar Mirza, President, as its authorized official.

NPPES Registry Identity

NPI1144839424
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKEDZIE 47 DENTAL LLC
Location Address4721 S KEDZIE AVEChicago, IL 60632-3001
Mailing Address4721 S Kedzie AveChicago, IL 60632-3001 · (630) 501-0064
Phone(773) 847-4444
Fax(630) 359-4933
Organization SubpartNo
Authorized OfficialMuzaffar MirzaPresident · (630) 501-0064
Enumeration DateJuly 23, 2020
Last NPPES UpdateOctober 28, 20212 updates tracked since enumeration
NPPES CertifiedOctober 28, 2021
✔ NPI 1144839424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedClinic/Center · DentalTaxonomy 261QD0000X
4721 S KEDZIE AVE, Chicago, IL 60632
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Other Names 1

Doing Business AsKedzie47 Dental

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 2

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

GAURAV AIDASANI
Dentist (General Practice)
4721 S KEDZIE AVE
CHICAGO, IL 60632
Cook County (773) 847-4444
DR. EIMAN OMER AHMED OSMAN DDS
Dentist
4721 S KEDZIE AVE
CHICAGO, IL 60632
Cook County (773) 847-4444

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 Kedzie 47 Dental LLC's NPI number?

The NPI number for Kedzie 47 Dental LLC is 1144839424. It was assigned to this organization in the NPPES registry on July 23, 2020. The provider is doing business as Kedzie47 Dental.

Where is Kedzie 47 Dental LLC located?

Kedzie 47 Dental LLC is located at 4721 S Kedzie Ave, Chicago, IL 60632. The listed phone number is (773) 847-4444.

What is Kedzie 47 Dental LLC's specialty?

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

What insurance does Kedzie 47 Dental LLC accept?

Health plans from UnitedHealthcare list Kedzie 47 Dental LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kedzie 47 Dental LLC was last updated on October 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.