TOOTHTOWN PLLC
NPI 1508590415
Clinic/Center - Dental in Addison, IL

Active since July 15, 2022
303 W LAKE ST STE 300, ADDISON, IL 60101(630) 352-1547 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Toothtown Pllc NPPES

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

TOOTHTOWN PLLC (NPI 1508590415), doing business as Toothtown Dental Addison, is a healthcare organization registered as a dental in Addison, Illinois and active in the NPI registry since July 2022. The organization lists Yusuf Fahmy, Owner, as its authorized official.

NPPES Registry Identity

NPI1508590415
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameTOOTHTOWN PLLC
Location Address303 W LAKE ST STE 300Addison, IL 60101-2564
Mailing Address1042 N Yale AveVilla Park, IL 60181-1146 · (630) 352-1547
Organization SubpartNo
Authorized OfficialYusuf FahmyOwner · (630) 352-1547
Enumeration DateJuly 15, 2022
NPPES CertifiedJuly 15, 2022
NPI 1508590415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
303 W LAKE ST STE 300, Addison, IL 60101

Other Names 1

Doing Business AsToothtown Dental Addison

Other Identifiers 1

Medicaid019030794IL

Other Providers at the Same Location NPPES

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

Dentist
303 W LAKE ST STE 300
ADDISON, IL 60101

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 Toothtown PLLC's NPI number?

The NPI number for Toothtown PLLC is 1508590415. It was assigned to this organization in the NPPES registry on July 15, 2022. The provider is doing business as Toothtown Dental Addison.

Where is Toothtown PLLC located?

Toothtown PLLC is located at 303 W Lake St Ste 300, Addison, IL 60101. The listed phone number is (630) 352-1547.

What is Toothtown PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Toothtown PLLC was last updated on July 15, 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.