DR. THUPTARA THUPVONG D.M.D.
NPI 1215198122
Dentist - General Practice in Chicago, IL

Active since June 23, 2008
2632 WESTERN AVE, CHICAGO, IL 60622(773) 235-0981 Get Directions Write a Review

NPPES record last updated: February 3, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Thuptara Thupvong D.m.d. NPPES

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

DR. THUPTARA THUPVONG D.M.D. (NPI 1215198122) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (019.025751) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1215198122
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. THUPTARA THUPVONGCredential: D.M.D.
Location Address2632 WESTERN AVEChicago, IL 60622-2850
Mailing Address176 East DelawareChicago, IL 60611-7718
Sole ProprietorYes
Enumeration DateJune 23, 2008
Last NPPES UpdateFebruary 3, 2017
NPI 1215198122 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 · 019.025751
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.
2632 WESTERN AVE, Chicago, IL 60622

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 Thuptara Thupvong's NPI number?

The NPI number for Thuptara Thupvong is 1215198122. It was assigned to this individual provider in the NPPES registry on June 23, 2008.

Where is Thuptara Thupvong located?

Thuptara Thupvong practices at 2632 Western Ave, Chicago, IL 60622. The listed phone number is (773) 235-0981.

What is Thuptara Thupvong'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 Thuptara Thupvong was last updated on February 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.