NORTH RIVERSIDE MALL DENTAL
NPI 1245741578
Dentist in North Riverside, IL

Q: What is Chicago Mall Dental Associates, LLC's NPI number?

The NPI number for Chicago Mall Dental Associates, LLC is 1245741578. It was assigned to this organization in the NPPES registry on October 13, 2017. The provider is doing business as North Riverside Mall Dental.

Q: What is Chicago Mall Dental Associates, LLC's specialty?

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

Active since October 13, 2017

7501 W CERMAK RD STE F16, NORTH RIVERSIDE, IL 60546(708) 402-8001 Get Directions Write a Review

NPPES record last updated: October 13, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About North Riverside Mall Dental NPPES

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

NORTH RIVERSIDE MALL DENTAL (NPI 1245741578) is a healthcare organization registered as a dentist in North Riverside, Illinois and active in the NPI registry since October 2017. The organization lists Rostislav Krasnov, Owner, as its authorized official.

NPPES Registry Identity

NPI1245741578

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameCHICAGO MALL DENTAL ASSOCIATES, LLC

Location Address7501 W CERMAK RD STE F16North Riverside, IL 60546-2815

Mailing Address7501 W Cermak Rd Ste F16North Riverside, IL 60546-2815 · (708) 402-8001

Phone(708) 402-8001

Organization SubpartNo

Authorized OfficialRostislav KrasnovOwner · (786) 475-7600

Enumeration DateOctober 13, 2017

✔ NPI 1245741578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

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.

7501 W CERMAK RD STE F16, North Riverside, IL 60546

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Other Names 1

Doing Business AsNorth Riverside Mall Dental

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 Chicago Mall Dental Associates, LLC's NPI number?

The NPI number for Chicago Mall Dental Associates, LLC is 1245741578. It was assigned to this organization in the NPPES registry on October 13, 2017. The provider is doing business as North Riverside Mall Dental.

Where is Chicago Mall Dental Associates, LLC located?

Chicago Mall Dental Associates, LLC is located at 7501 W Cermak Rd Ste F16, North Riverside, IL 60546. The listed phone number is (708) 402-8001.

What is Chicago Mall Dental Associates, LLC's specialty?

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

What insurance does Chicago Mall Dental Associates, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Chicago Mall Dental Associates, LLC 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 Chicago Mall Dental Associates, LLC was last updated on October 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.