CHILDREN'S DENTAL WORLD, LLC
NPI 1477883122
Dentist - Pediatric Dentistry in Chicago, IL

Active since December 31, 2009
2959 S WALLACE ST, CHICAGO, IL 60616(312) 326-5437(312) 842-5338 Get Directions Write a Review

NPPES record last updated: December 31, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Children's Dental World, Llc NPPES

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

CHILDREN'S DENTAL WORLD, LLC (NPI 1477883122) is a healthcare organization registered as a pediatric dentistry in Chicago, Illinois and active in the NPI registry since December 2009. The organization lists Sam Park, Owner, as its authorized official.

NPPES Registry Identity

NPI1477883122
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCHILDREN'S DENTAL WORLD, LLC
Location Address2959 S WALLACE STChicago, IL 60616
Mailing Address2959 S Wallace StChicago, IL 60616
Fax(312) 842-5338
Organization SubpartNo
Authorized OfficialSam ParkOwner · (312) 326-5437
Enumeration DateDecember 31, 2009
NPI 1477883122 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in IL · 019025818
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

2959 S WALLACE ST, Chicago, IL 60616

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 7

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

Dentist (Pediatric Dentistry)
2959 S WALLACE ST
CHICAGO, IL 60616
Dentist (Pediatric Dentistry)
2959 S WALLACE ST, CHILDREN'S DENTAL WORLD
CHICAGO, IL 60616
Dentist (General Practice)
2959 S WALLACE ST
CHICAGO, IL 60616
Dentist
2959 S WALLACE ST
CHICAGO, IL 60616
Dentist
2959 S WALLACE ST
CHICAGO, IL 60616
Dentist
2959 S WALLACE ST
CHICAGO, IL 60616
Dentist (Orthodontics and Dentofacial Orthopedics)
2959 S WALLACE ST
CHICAGO, IL 60616

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 Children's Dental World, LLC's NPI number?

The NPI number for Children's Dental World, LLC is 1477883122. It was assigned to this organization in the NPPES registry on December 31, 2009.

Where is Children's Dental World, LLC located?

Children's Dental World, LLC is located at 2959 S Wallace St, Chicago, IL 60616. The listed phone number is (312) 326-5437.

What is Children's Dental World, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Children's Dental World, LLC was last updated on December 31, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.