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DENTAL STORE NORTH SHORE, LTD
NPI 1255815031
Dentist - General Practice in Skokie, IL

Active since September 18, 2018
9235 SKOKIE BLVD, SKOKIE, IL 60077(847) 329-9858 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 31, 2026, Sep 18, 2018 (2 updates tracked since 2018).

About Dental Store North Shore, Ltd NPPES

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

DENTAL STORE NORTH SHORE, LTD (NPI 1255815031), doing business as Old Orchard Smiles, is a healthcare organization registered as a general practice in Skokie, Illinois and active in the NPI registry since September 2018. The organization lists Joel Cohn, Corporate Secretary, as its authorized official.

NPPES Registry Identity

NPI1255815031
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDENTAL STORE NORTH SHORE, LTD
Location Address9235 SKOKIE BLVDSkokie, IL 60077-1342
Mailing Address9235 Skokie BlvdSkokie, IL 60077-1342 · (847) 329-9858
Phone(847) 329-9858
Organization SubpartNo
Authorized OfficialJoel CohnCorporate Secretary · (773) 620-4824
Enumeration DateSeptember 18, 2018
Last NPPES UpdateMarch 31, 20262 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
✔ NPI 1255815031 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.
9235 SKOKIE BLVD, Skokie, IL 60077
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Other Names 1

Doing Business AsOld Orchard Smiles

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

Other Providers at the Same Location NPPES

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

DR. MINA MARIE MAKVANDI DMD
Dentist (General Practice)
9235 SKOKIE BLVD
SKOKIE, IL 60077
Cook County (847) 379-1103

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 Store North Shore, Ltd's NPI number?

The NPI number for Dental Store North Shore, Ltd is 1255815031. It was assigned to this organization in the NPPES registry on September 18, 2018. The provider is doing business as Old Orchard Smiles.

Where is Dental Store North Shore, Ltd located?

Dental Store North Shore, Ltd is located at 9235 Skokie Blvd, Skokie, IL 60077. The listed phone number is (847) 329-9858.

What is Dental Store North Shore, Ltd'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 Dental Store North Shore, Ltd was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.