CLARK DENTAL OFFICE LTD
NPI 1316119993
Dentist - General Practice in Chicago, IL

Active since March 24, 2008
6210 N CLARK ST, CHICAGO, IL 60660(773) 761-2020(773) 761-2072 Get Directions Write a Review

NPPES record last updated: March 24, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Clark Dental Office Ltd NPPES

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

CLARK DENTAL OFFICE LTD (NPI 1316119993) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since March 2008. The organization lists Reza Jalili Kmoshnood, President Dentist, as its authorized official.

NPPES Registry Identity

NPI1316119993
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCLARK DENTAL OFFICE LTD
Location Address6210 N CLARK STChicago, IL 60660
Mailing Address6210 N Clark StChicago, IL 60660 · (773) 761-2020 · Fax (773) 761-2072
Fax(773) 761-2072
Organization SubpartNo
Authorized OfficialReza Jalili KmoshnoodPresident Dentist · (773) 761-2020
Enumeration DateMarch 24, 2008
NPI 1316119993 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.

6210 N CLARK ST, Chicago, IL 60660

Other Identifiers 1

Medicaid1002509IL

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.

Dentist (General Practice)
6210 N CLARK ST
CHICAGO, IL 60660

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 Clark Dental Office Ltd's NPI number?

The NPI number for Clark Dental Office Ltd is 1316119993. It was assigned to this organization in the NPPES registry on March 24, 2008.

Where is Clark Dental Office Ltd located?

Clark Dental Office Ltd is located at 6210 N Clark St, Chicago, IL 60660. The listed phone number is (773) 761-2020.

What is Clark Dental Office 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 Clark Dental Office Ltd was last updated on March 24, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.