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DENTAL IMPRESSION, SC
NPI 1235415548
Dentist in Chicago, IL

Active since November 01, 2011
5430 S KEDZIE AVE, CHICAGO, IL 60632(773) 925-0650 Get Directions Write a Review

NPPES record last updated: November 1, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dental Impression, Sc NPPES

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

DENTAL IMPRESSION, SC (NPI 1235415548) is a healthcare organization registered as a dentist in Chicago, Illinois and active in the NPI registry since November 2011. The organization lists Shafeeq H Bader, President, as its authorized official.

NPPES Registry Identity

NPI1235415548
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameDENTAL IMPRESSION, SC
Location Address5430 S KEDZIE AVEChicago, IL 60632-2620
Mailing Address5430 S Kedzie AveChicago, IL 60632-2620 · (773) 925-0650
Phone(773) 925-0650
Organization SubpartNo
Authorized OfficialShafeeq H BaderPresident · (630) 452-6950
Enumeration DateNovember 1, 2011
✔ NPI 1235415548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019025521
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
5430 S KEDZIE AVE, Chicago, IL 60632
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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

Accepted Insurance

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

Other Providers at the Same Location NPPES 5

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

OTILIO MELERO MDSC
Family Medicine
5430 S KEDZIE AVE
CHICAGO, IL 60632
Cook County (773) 471-2411
SHAFEEQ H. BADER, D.D.S., S.C.
Dentist
5430 S KEDZIE AVE
CHICAGO, IL 60632
Cook County (773) 925-0650
LHM PHYSICAL THERAPY, INC.
Clinic/Center (Physical Therapy)
5430 S KEDZIE AVE
CHICAGO, IL 60632
Cook County (630) 826-5900
SURABHI JAITHLIYA
Student in an Organized Health Care Education/Training Program
5430 S KEDZIE AVE
CHICAGO, IL 60632
Cook County (773) 295-2523
KEDZIE DENTISTRY LLC
Dentist (General Practice)
5430 S KEDZIE AVE
CHICAGO, IL 60632
Cook County (773) 295-2523

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 Dental Impression, Sc's NPI number?

The NPI number for Dental Impression, Sc is 1235415548. It was assigned to this organization in the NPPES registry on November 1, 2011.

Where is Dental Impression, Sc located?

Dental Impression, Sc is located at 5430 S Kedzie Ave, Chicago, IL 60632. The listed phone number is (773) 925-0650.

What is Dental Impression, Sc's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Dental Impression, Sc accept?

Health plans from UnitedHealthcare list Dental Impression, Sc 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 Dental Impression, Sc was last updated on November 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.