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PRISTINE PEARLS LLC
NPI 1508685942
Dentist - General Practice in Chicago, IL

Active since October 03, 2024
2407 N MILWAUKEE AVE STE 101, CHICAGO, IL 60647(312) 471-6555(312) 471-6554 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pristine Pearls Llc NPPES

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

PRISTINE PEARLS LLC (NPI 1508685942), doing business as Pristine Pearls, is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since October 2024. The organization lists Jason Brody, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1508685942
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePRISTINE PEARLS LLC
Location Address2407 N MILWAUKEE AVE STE 101Chicago, IL 60647-6859
Mailing Address2407 N Milwaukee Ave Ste 101Chicago, IL 60647-6859 · (312) 471-6555 · Fax (312) 471-6554
Phone(312) 471-6555
Fax(312) 471-6554
Organization SubpartNo
Authorized OfficialJason BrodyCredentialing Manager · (312) 471-6555
Enumeration DateOctober 3, 2024
NPPES CertifiedOctober 3, 2024
✔ NPI 1508685942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2407 N MILWAUKEE AVE STE 101, Chicago, IL 60647
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Other Names 1

Doing Business AsPristine Pearls

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 Pristine Pearls LLC's NPI number?

The NPI number for Pristine Pearls LLC is 1508685942. It was assigned to this organization in the NPPES registry on October 3, 2024. The provider is doing business as Pristine Pearls.

Where is Pristine Pearls LLC located?

Pristine Pearls LLC is located at 2407 N Milwaukee Ave Ste 101, Chicago, IL 60647. The listed phone number is (312) 471-6555.

What is Pristine Pearls LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Pristine Pearls LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Pristine Pearls LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pristine Pearls LLC was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.