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A-DENTA CARE SPECIALIST PC
NPI 1417223470
Dentist - Periodontics in Chicago, IL

Active since March 23, 2012
5780 N LINCOLN AVE, CHICAGO, IL 60659(773) 769-1754(773) 769-1370 Get Directions Write a Review

NPPES record last updated: March 23, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About A-denta Care Specialist Pc NPPES

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

A-DENTA CARE SPECIALIST PC (NPI 1417223470) is a healthcare organization registered as a periodontics in Chicago, Illinois and active in the NPI registry since March 2012. The organization lists John Dimoulis, Owner, as its authorized official.

NPPES Registry Identity

NPI1417223470
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameA-DENTA CARE SPECIALIST PC
Location Address5780 N LINCOLN AVEChicago, IL 60659-4721
Mailing Address5780 N Lincoln AveChicago, IL 60659-4721 · (773) 769-1754 · Fax (773) 769-1370
Phone(773) 769-1754
Fax(773) 769-1370
Organization SubpartNo
Authorized OfficialJohn DimoulisOwner · (773) 769-1754
Enumeration DateMarch 23, 2012
✔ NPI 1417223470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in IL · 021001402
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.
Also ListedDentist · EndodonticsTaxonomy 1223E0200X · License 021002414 (IL), 021002411 (IL)
5780 N LINCOLN AVE, Chicago, IL 60659
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Other Identifiers 3

Other1619133345IL · Npi Dental Provider
Other136645657IL · Npi Dental Provider
Other1962592865IL · Dental Provider

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

STEVEN B. RAPHAEL, D.D.S., P.C.
Dentist (Endodontics)
5780 N LINCOLN AVE
CHICAGO, IL 60659
Cook County (773) 769-1754
DR. JOHN DIMOULIS DDS MS
Dentist (Periodontics)
5780 N LINCOLN AVE
CHICAGO, IL 60659
Cook County (773) 769-1754

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 A-Denta Care Specialist PC's NPI number?

The NPI number for A-Denta Care Specialist PC is 1417223470. It was assigned to this organization in the NPPES registry on March 23, 2012.

Where is A-Denta Care Specialist PC located?

A-Denta Care Specialist PC is located at 5780 N Lincoln Ave, Chicago, IL 60659. The listed phone number is (773) 769-1754.

What is A-Denta Care Specialist PC'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 A-Denta Care Specialist PC was last updated on March 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.