GRAND DENTISTRY
NPI 1295145092
Dentist - General Practice in Chicago, IL

Active since May 01, 2014
116 W GRAND AVE, #1, CHICAGO, IL 60654(312) 955-9020 Get Directions Write a Review

NPPES record last updated: May 1, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Grand Dentistry NPPES

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

GRAND DENTISTRY (NPI 1295145092) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since May 2014. The organization lists Deepan Pravin Patel, Dentist, as its authorized official.Information from the official NPPES registry record, last updated May 1, 2014.

NPPES Registry Identity

NPI1295145092
Entity TypeOrganization
Legal Business NameGRAND DENTISTRY
Location Address116 W GRAND AVE, #1Chicago, IL 60654-5207
Mailing Address116 W Grand Ave, #1Chicago, IL 60654-5207 · (312) 955-9020
Organization SubpartNo
Authorized OfficialDeepan Pravin PatelDentist · (616) 443-5097
Enumeration DateMay 1, 2014
NPI 1295145092 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Dentist · General Practice

Taxonomy 1223G0001X · Dental Providers

Licensed in IL · 019028510

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… Show more

116 W GRAND AVE, Chicago, IL 60654

Also on File with NPPES

Group Practice1
This 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)

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295145092, enumerated as an "organization" on May 01, 2014.

The provider is located at 116 W GRAND AVE #1 CHICAGO, IL 60654 and the phone number is (312) 955-9020.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.