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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: July 19, 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
Phone(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
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Other Names 1

Doing Business AsToothtown Dental Addison

Other Identifiers 1

Medicaid019030794IL

Frequently Asked Questions

What is TOOTHTOWN PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1508590415, enumerated as an "organization" on July 15, 2022.

Where is the provider located?

The provider is located at 303 W LAKE ST STE 300 ADDISON, IL 60101 and the phone number is (630) 352-1547.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.

What insurance does TOOTHTOWN PLLC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.