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PERIODONTAL ASSOCIATES, LLP
NPI 1508355678
Dentist - Periodontics in Chicago, IL

Active since May 04, 2018
845 N MICHIGAN AVE STE 940W, CHICAGO, IL 60611(312) 751-1020(312) 751-1231 Get Directions Write a Review

NPPES record last updated: May 4, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Periodontal Associates, Llp NPPES

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

PERIODONTAL ASSOCIATES, LLP (NPI 1508355678) is a healthcare organization registered as a periodontics in Chicago, Illinois and active in the NPI registry since May 2018. The organization lists Jennifer Homola, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1508355678
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePERIODONTAL ASSOCIATES, LLP
Location Address845 N MICHIGAN AVE STE 940WChicago, IL 60611-2216
Mailing Address845 N Michigan Ave Ste 940wChicago, IL 60611-2216 · (312) 751-1020 · Fax (312) 751-1231
Phone(312) 751-1020
Fax(312) 751-1231
Organization SubpartNo
Authorized OfficialJennifer HomolaOffice Manager · (312) 751-1020
Enumeration DateMay 4, 2018
✔ NPI 1508355678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
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.
845 N MICHIGAN AVE STE 940W, Chicago, IL 60611
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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

Other Providers at the Same Location NPPES

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

DR. MARMAR MODARRESSI DDS, MS
Dentist (Periodontics)
845 N MICHIGAN AVE STE 940W
CHICAGO, IL 60611
Cook County (312) 751-1020

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 Periodontal Associates, LLP's NPI number?

The NPI number for Periodontal Associates, LLP is 1508355678. It was assigned to this organization in the NPPES registry on May 4, 2018.

Where is Periodontal Associates, LLP located?

Periodontal Associates, LLP is located at 845 N Michigan Ave Ste 940W, Chicago, IL 60611. The listed phone number is (312) 751-1020.

What is Periodontal Associates, LLP'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 Periodontal Associates, LLP was last updated on May 4, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.