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MODERN DENTAL ON DIVISION
NPI 1225459340
Dentist - General Practice in Chicago, IL

Active since December 16, 2013
2033 W. DIVISION, CHICAGO, IL 60622(773) 489-5700 Get Directions Write a Review

NPPES record last updated: December 16, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Modern Dental On Division NPPES

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

MODERN DENTAL ON DIVISION (NPI 1225459340) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since December 2013. The organization lists Phillip Palella, Owner, as its authorized official.

NPPES Registry Identity

NPI1225459340
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMODERN DENTAL ON DIVISION
Location Address2033 W. DIVISIONChicago, IL 60622
Mailing Address2033 W. DivisionChicago, IL 60622
Phone(773) 489-5700
Organization SubpartNo
Authorized OfficialPhillip PalellaOwner · (773) 489-5700
Enumeration DateDecember 16, 2013
✔ NPI 1225459340 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 · 019.026403
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.
2033 W. DIVISION, Chicago, IL 60622
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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

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 Modern Dental On Division's NPI number?

The NPI number for Modern Dental On Division is 1225459340. It was assigned to this organization in the NPPES registry on December 16, 2013.

Where is Modern Dental On Division located?

Modern Dental On Division is located at 2033 W. Division, Chicago, IL 60622. The listed phone number is (773) 489-5700.

What is Modern Dental On Division'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 Modern Dental On Division was last updated on December 16, 2013. 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.