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STUDIO DENTAL, LLC
NPI 1629249610
Dentist - General Practice in Chicago, IL

Active since March 18, 2008
4516 S DAMEN AVE, CHICAGO, IL 60609(773) 869-0200 Get Directions Write a Review

NPPES record last updated: March 17, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 17, 2020, Feb 16, 2017 (2 updates tracked since 2017).

About Studio Dental, Llc NPPES

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

STUDIO DENTAL, LLC (NPI 1629249610) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since March 2008. The organization lists Phil Kural, Director Doctor Credentialing, as its authorized official.

NPPES Registry Identity

NPI1629249610
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSTUDIO DENTAL, LLC
Location Address4516 S DAMEN AVEChicago, IL 60609-3013
Mailing Address4516 S Damen AveChicago, IL 60609-3013 · (773) 869-0200
Phone(773) 869-0200
Organization SubpartNo
Authorized OfficialPhil KuralDirector Doctor Credentialing · (312) 274-4526
Enumeration DateMarch 18, 2008
Last NPPES UpdateMarch 17, 20202 updates tracked since enumeration
NPPES CertifiedMarch 17, 2020
✔ NPI 1629249610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019024846
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.
4516 S DAMEN AVE, Chicago, IL 60609
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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 13

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

DR. FRANCESCA JESSICA GATTUSO D.D.S.
Dentist
4516 S DAMEN AVE
CHICAGO, IL 60609
Cook County (773) 869-0200
PINKESH SHAH
Dentist
4516 S DAMEN AVE
CHICAGO, IL 60609
Cook County (773) 869-0200
ASIMA CHUGHTAI
Dentist
4516 S DAMEN AVE
CHICAGO, IL 60609
Cook County (718) 496-6930
TIFFANY CHEN D.D.S.
Dentist (General Practice)
4516 S DAMEN AVE
CHICAGO, IL 60609
Cook County (612) 232-6358
DR. JAY ADAM DEHART D.D.S
Dentist
4516 S DAMEN AVE
CHICAGO, IL 60609
Cook County (920) 838-1649
ADAM AL-KASSEM DDS
Dentist (General Practice)
4516 S DAMEN AVE
CHICAGO, IL 60609
Cook County (773) 869-0201
DR. RIZWAAN RAUF D.D.S.
Dentist
4516 S DAMEN AVE
CHICAGO, IL 60609
Cook County (773) 869-0200
DR. SHAHNEEL ADA AHMED BDS, MS, OFP (CERT.)
Dentist (General Practice)
4516 S DAMEN AVE
CHICAGO, IL 60609
Cook County (773) 869-0200

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 Studio Dental, LLC's NPI number?

The NPI number for Studio Dental, LLC is 1629249610. It was assigned to this organization in the NPPES registry on March 18, 2008.

Where is Studio Dental, LLC located?

Studio Dental, LLC is located at 4516 S Damen Ave, Chicago, IL 60609. The listed phone number is (773) 869-0200.

What is Studio Dental, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Studio Dental, LLC was last updated on March 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.