PRESIDENTIAL DENTAL
NPI 1194917013
Dentist - General Practice in Chicago, IL

Active since August 14, 2007
564 W WASHINGTON BLVD, CHICAGO, IL 60661(312) 902-3131 Get Directions Write a Review

NPPES record last updated: January 28, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Presidential Dental NPPES

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

PRESIDENTIAL DENTAL (NPI 1194917013) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since August 2007. The organization lists Peter A Michalak, Dentist, as its authorized official.

NPPES Registry Identity

NPI1194917013
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePRESIDENTIAL DENTAL
Location Address564 W WASHINGTON BLVDChicago, IL 60661-2509
Mailing Address564 W Washington BlvdChicago, IL 60661-2509 · (312) 902-3131
Organization SubpartNo
Authorized OfficialPeter A MichalakDentist · (312) 902-3131
Enumeration DateAugust 14, 2007
Last NPPES UpdateJanuary 28, 2014
NPI 1194917013 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.
564 W WASHINGTON BLVD, Chicago, IL 60661

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)
564 W WASHINGTON BLVD
CHICAGO, IL 60661

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 Presidential Dental's NPI number?

The NPI number for Presidential Dental is 1194917013. It was assigned to this organization in the NPPES registry on August 14, 2007.

Where is Presidential Dental located?

Presidential Dental is located at 564 W Washington Blvd, Chicago, IL 60661. The listed phone number is (312) 902-3131.

What is Presidential 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 Presidential Dental was last updated on January 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.