ENAMEL DENTAL SALON PC
NPI 1497551741
Clinic/Center - Dental in Chicago, IL

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.

Active since February 19, 2025

3190 N ELSTON AVE, CHICAGO, IL 60618(773) 564-9916(872) 203-9984 Get Directions Write a Review

NPPES record last updated: February 19, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

NPI Profile Information
Primary Taxonomy
Authorized Official
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Dental

About ENAMEL DENTAL SALON PC

This page provides the complete NPI Profile along with additional information for Enamel Dental Salon Pc, a provider established in Chicago, Illinois operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1497551741 assigned on February 2025. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mohammad R Ekhtera Dds (Owner)

NPI: 1497551741 Verify this NPI
Provider Name: ENAMEL DENTAL SALON PC
Entity Type: Organization
Location Address: 3190 N ELSTON AVE CHICAGO, IL 60618
Location Phone: (773) 564-9916
Location Fax: (872) 203-9984
Mailing Address: 3190 N ELSTON AVE CHICAGO, IL 60618
Mailing Phone: (773) 564-9916
Mailing Fax: (872) 203-9984
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 02-19-2025
Last Update Date: 02-19-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Dental
Taxonomy Code: 261QD0000X
Type: Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: MOHAMMAD R EKHTERA DDS
Authorized Official Title: OWNER
Authorized Official Phone: (773) 564-9916