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OLD TOWN DENTAL CARE, P.C.
NPI 1265677314
Dentist in Chicago, IL

Active since December 03, 2008
1504 N WELLS ST, CHICAGO, IL 60610(312) 573-0007(312) 573-0002 Get Directions Write a Review

NPPES record last updated: December 3, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Old Town Dental Care, P.c. NPPES

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

OLD TOWN DENTAL CARE, P.C. (NPI 1265677314), doing business as Lakeview Dental Care, P.c., is a healthcare organization registered as a dentist in Chicago, Illinois and active in the NPI registry since December 2008. The organization lists Sam Tahbaz, President, as its authorized official.

NPPES Registry Identity

NPI1265677314
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameOLD TOWN DENTAL CARE, P.C.
Location Address1504 N WELLS STChicago, IL 60610-1308
Mailing Address1504 N Wells StChicago, IL 60610-1308 · (312) 573-0007 · Fax (312) 573-0002
Phone(312) 573-0007
Fax(312) 573-0002
Organization SubpartNo
Authorized OfficialSam TahbazPresident · (312) 573-0007
Enumeration DateDecember 3, 2008
✔ NPI 1265677314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019024892
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.
1504 N WELLS ST, Chicago, IL 60610
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Other Names 1

Former Legal Business NameLakeview Dental Care, P.c.

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 Old Town Dental Care, P.C.'s NPI number?

The NPI number for Old Town Dental Care, P.C. is 1265677314. It was assigned to this organization in the NPPES registry on December 3, 2008. The provider was formerly known as Lakeview Dental Care, P.C..

Where is Old Town Dental Care, P.C. located?

Old Town Dental Care, P.C. is located at 1504 N Wells St, Chicago, IL 60610. The listed phone number is (312) 573-0007.

What is Old Town Dental Care, P.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Old Town Dental Care, P.C. was last updated on December 3, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.