DENTAL IMPRESSIONS
NPI 1366980039
Dentist in Chicago, IL

Active since February 02, 2017
5430 S KEDZIE AVE, CHICAGO, IL 60632(773) 925-0650 Get Directions Write a Review

NPPES record last updated: February 2, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dental Impressions NPPES

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

DENTAL IMPRESSIONS (NPI 1366980039) is a healthcare organization registered as a dentist in Chicago, Illinois and active in the NPI registry since February 2017. The organization lists Shafeeq Bader, President, as its authorized official.

NPPES Registry Identity

NPI1366980039
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSHAFEEQ H. BADER, D.D.S., S.C.
Location Address5430 S KEDZIE AVEChicago, IL 60632-2620
Mailing Address5430 S Kedzie AveChicago, IL 60632-2620 · (773) 925-0650
Organization SubpartNo
Authorized OfficialShafeeq BaderPresident · (630) 452-6950
Enumeration DateFebruary 2, 2017
NPI 1366980039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in IL · 019025521
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.
5430 S KEDZIE AVE, Chicago, IL 60632

Other Names 1

Doing Business AsDental Impressions

Other Identifiers 1

Medicaid019025521IL

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 5

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

Family Medicine
5430 S KEDZIE AVE
CHICAGO, IL 60632
Dentist
5430 S KEDZIE AVE
CHICAGO, IL 60632
Clinic/Center (Physical Therapy)
5430 S KEDZIE AVE
CHICAGO, IL 60632
Student in an Organized Health Care Education/Training Program
5430 S KEDZIE AVE
CHICAGO, IL 60632
Dentist (General Practice)
5430 S KEDZIE AVE
CHICAGO, IL 60632

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 Shafeeq H. Bader, D.D.S., S.C.'s NPI number?

The NPI number for Shafeeq H. Bader, D.D.S., S.C. is 1366980039. It was assigned to this organization in the NPPES registry on February 2, 2017. The provider is doing business as Dental Impressions.

Where is Shafeeq H. Bader, D.D.S., S.C. located?

Shafeeq H. Bader, D.D.S., S.C. is located at 5430 S Kedzie Ave, Chicago, IL 60632. The listed phone number is (773) 925-0650.

What is Shafeeq H. Bader, D.D.S., S.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 Shafeeq H. Bader, D.D.S., S.C. was last updated on February 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.