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CENTENNIAL DENTAL GROUP LTD
NPI 1578448536
Clinic/Center - Dental in Chicago, IL

Active since August 08, 2025
2746 W FULLERTON AVE, CHICAGO, IL 60647(954) 536-4810 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Centennial Dental Group Ltd NPPES

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

CENTENNIAL DENTAL GROUP LTD (NPI 1578448536) is a healthcare organization registered as a dental in Chicago, Illinois and active in the NPI registry since August 2025. The organization lists Eric Young, Dentist, as its authorized official.

NPPES Registry Identity

NPI1578448536
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCENTENNIAL DENTAL GROUP LTD
Location Address2746 W FULLERTON AVEChicago, IL 60647-3059
Mailing Address19524 Maggies WayMokena, IL 60448-8353
Phone(954) 536-4810
Organization SubpartNo
Authorized OfficialEric YoungDentist · (954) 536-4810
Enumeration DateAugust 8, 2025
NPPES CertifiedAugust 8, 2025
✔ NPI 1578448536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2746 W FULLERTON AVE, Chicago, IL 60647
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Other Providers at the Same Location NPPES 4

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

ROBERT J. WOLIN, DDS
Dentist
2746 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (773) 278-6655
METRO DENTAL LLC
Dentist
2746 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (224) 392-2403
DR. MARIYA IVANOVA MANOVA DMD
Dentist
2746 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (501) 773-1233
MARIYA MANOVA DMD. P.C.
Clinic/Center (Dental)
2746 W FULLERTON AVE
CHICAGO, IL 60647
Cook County (501) 773-1233

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 Centennial Dental Group Ltd's NPI number?

The NPI number for Centennial Dental Group Ltd is 1578448536. It was assigned to this organization in the NPPES registry on August 8, 2025.

Where is Centennial Dental Group Ltd located?

Centennial Dental Group Ltd is located at 2746 W Fullerton Ave, Chicago, IL 60647. The listed phone number is (954) 536-4810.

What is Centennial Dental Group Ltd'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 Centennial Dental Group Ltd was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.