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CICERO DENTAL CENTER LLC
NPI 1447767546
Dentist - General Practice in Cicero, IL

Active since January 10, 2018
1639 S CICERO AVE, CICERO, IL 60804(708) 477-6717(708) 477-6434 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 23, 2022, Jan 10, 2018 (2 updates tracked since 2018).

About Cicero Dental Center Llc NPPES

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

CICERO DENTAL CENTER LLC (NPI 1447767546) is a healthcare organization registered as a general practice in Cicero, Illinois and active in the NPI registry since January 2018. The organization lists Hamza Mohammed, Administrator, as its authorized official.

NPPES Registry Identity

NPI1447767546
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCICERO DENTAL CENTER LLC
Location Address1639 S CICERO AVECicero, IL 60804-1520
Mailing Address1639 S Cicero AveCicero, IL 60804-1520 · (708) 477-6717 · Fax (708) 477-6434
Phone(708) 477-6717
Fax(708) 477-6434
Organization SubpartNo
Authorized OfficialHamza MohammedAdministrator · (630) 437-0774
Enumeration DateJanuary 10, 2018
Last NPPES UpdateMay 23, 20222 updates tracked since enumeration
NPPES CertifiedMay 23, 2022
✔ NPI 1447767546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in IL · 1710977939✔ Licensed in IL · 1184826174
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.
1639 S CICERO AVE, Cicero, IL 60804
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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.

ARIF SAMEE, DDS CHTD
Dentist (General Practice)
1639 S CICERO AVE
CICERO, IL 60804
Cook County (708) 477-6717
DR. KAJOL KANSARA DDS
Dentist
1639 S CICERO AVE
CICERO, IL 60804
Cook County (708) 477-6717

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 Cicero Dental Center LLC's NPI number?

The NPI number for Cicero Dental Center LLC is 1447767546. It was assigned to this organization in the NPPES registry on January 10, 2018.

Where is Cicero Dental Center LLC located?

Cicero Dental Center LLC is located at 1639 S Cicero Ave, Cicero, IL 60804. The listed phone number is (708) 477-6717.

What is Cicero Dental Center LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Cicero Dental Center LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Cicero Dental Center LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cicero Dental Center LLC was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.