SETH EBBEN DDS
NPI 1508326901
Dentist - Oral and Maxillofacial Surgery in Chicago, IL

Q: What is Seth Ebben's NPI number?

The NPI number for Seth Ebben is 1508326901. It was assigned to this individual provider in the NPPES registry on March 21, 2019.

Q: What is Seth Ebben's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: Is Seth Ebben enrolled in Medicare?

No. Seth Ebben has opted out of Medicare through July 10, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Seth Ebben was last updated on July 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 21, 2019Opted out of Medicare · through Jul 10, 2027

801 S PAULINA ST, CHICAGO, IL 60612(312) 996-7555 Get Directions Write a Review

NPPES record last updated: July 9, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 9, 2019, Mar 21, 2019 (2 updates tracked since 2019).

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About Seth Ebben Dds NPPES

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

SETH EBBEN DDS (NPI 1508326901) is an individual oral and maxillofacial surgery provider in Chicago, Illinois, licensed in Illinois (019.032241) and active in the NPI registry since March 2019. He has opted out of Medicare through July 10, 2027.

NPPES Registry Identity

NPI1508326901

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameSETH EBBENCredential: DDS

Location Address801 S PAULINA STChicago, IL 60612-7210

Mailing Address540 N 94th StMilwaukee, WI 53226-4432 · (630) 313-9440

Phone(312) 996-7555

Sole ProprietorNo

Enumeration DateMarch 21, 2019

Last NPPES UpdateJuly 9, 20192 updates tracked since enumeration

✔ NPI 1508326901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in IL · 019.032241

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

801 S PAULINA ST, Chicago, IL 60612

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Wisconsin, Inc., Quartz.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Seth Ebben Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 10, 2023 through July 10, 2027.

Opt-Out Effective DateJuly 10, 2023

Opt-Out In Effect ThroughJuly 10, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

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

KENNETH GEHRKE DDS

Dentist (General Practice)

801 S PAULINA ST, MC 621
CHICAGO, IL 60612

Cook County (312) 355-1661

DR. NATHANIEL DANCYKIER D.D.S.

Dentist (General Practice)