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DR. MICHAEL ROYAL MINTZ
NPI 1215142344
Dentist - General Practice in Chicago, IL

Active since May 11, 2007
990 W FULLERTON AVE, SUITE 450, CHICAGO, IL 60614(773) 935-1855(773) 935-1888 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael Royal Mintz NPPES

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

DR. MICHAEL ROYAL MINTZ (NPI 1215142344) is an individual general practice provider in Chicago, Illinois and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1215142344
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MICHAEL ROYAL MINTZ
Location Address990 W FULLERTON AVE, SUITE 450Chicago, IL 60614-2458
Mailing Address990 W Fullerton Ave, Suite 450Chicago, IL 60614-2458 · (773) 935-1855 · Fax (773) 935-1888
Phone(773) 935-1855
Fax(773) 935-1888
Sole ProprietorYes
Enumeration DateMay 11, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1215142344 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.
990 W FULLERTON AVE, Chicago, IL 60614
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Other Names 1

Professional Name (2)Dr. Michael Royal Mintz D.d.s.

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.

MR. LARRY JAMES MATURIN JR. RN, APN, ACNS-BC
Clinical Nurse Specialist
990 W FULLERTON AVE
CHICAGO, IL 60614
Cook County (815) 603-6212
ALYSSA KONDRATIUK DNP
Nurse Practitioner (Family)
990 W FULLERTON AVE
CHICAGO, IL 60614
Cook County (773) 325-8490
DR. EDMUND VAL PADLECKAS D.D.S.
Dentist
990 W FULLERTON AVE, SUITE 460
CHICAGO, IL 60614
Cook County (773) 975-9606
MICHAEL R MINTZ D.D.S.,P.C.
Dentist (General Practice)
990 W FULLERTON AVE, SUITE 450
CHICAGO, IL 60614
Cook County (773) 935-1855

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 Michael Mintz's NPI number?

The NPI number for Michael Mintz is 1215142344. It was assigned to this individual provider in the NPPES registry on May 11, 2007. The provider is also known as Dr. Michael Royal Mintz D.D.S..

Where is Michael Mintz located?

Michael Mintz practices at 990 W Fullerton Ave Suite 450, Chicago, IL 60614. The listed phone number is (773) 935-1855.

What is Michael Mintz'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 Michael Mintz was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.