PERIODONTICS & DENTAL IMPLANT CENTER LTD
NPI 1275874182
Dentist - Periodontics in Chicago, IL

Q: What is Periodontics & Dental Implant Center Ltd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Active since March 04, 2013

1900 W 47TH ST, CHICAGO, IL 60609(773) 847-9004(773) 847-9008 Get Directions Write a Review

NPPES record last updated: March 4, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Periodontics & Dental Implant Center Ltd NPPES

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

PERIODONTICS & DENTAL IMPLANT CENTER LTD (NPI 1275874182) is a healthcare organization registered as a periodontics in Chicago, Illinois and active in the NPI registry since March 2013. The organization lists Amjod Aldollal, President, as its authorized official.

NPPES Registry Identity

NPI1275874182

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NamePERIODONTICS & DENTAL IMPLANT CENTER LTD

Location Address1900 W 47TH STChicago, IL 60609-3833

Mailing Address1900 W 47th StChicago, IL 60609-3833 · (773) 847-9004 · Fax (773) 847-9008

Phone(773) 847-9004

Fax(773) 847-9008

Organization SubpartNo

Authorized OfficialAmjod AldollalPresident · (773) 847-9004

Enumeration DateMarch 4, 2013

✔ NPI 1275874182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in IL · 019028531

Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

1900 W 47TH ST, Chicago, IL 60609

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Other Identifiers 1

Medicaid019028531IL

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 2

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

MRS. NADA ALDALLAL MD

Pediatrics

1900 W 47TH ST
CHICAGO, IL 60609

Cook County (773) 847-9004

DR. MOHAMMAD AMIR KOUJAN DDS

Dentist

1900 W 47TH ST
CHICAGO, IL 60609

Cook County (773) 847-9004

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 Periodontics & Dental Implant Center Ltd's NPI number?

The NPI number for Periodontics & Dental Implant Center Ltd is 1275874182. It was assigned to this organization in the NPPES registry on March 4, 2013.

Where is Periodontics & Dental Implant Center Ltd located?

Periodontics & Dental Implant Center Ltd is located at 1900 W 47th St, Chicago, IL 60609. The listed phone number is (773) 847-9004.

What is Periodontics & Dental Implant Center Ltd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Periodontics & Dental Implant Center Ltd was last updated on March 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.