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LUIS ANDRE MENDONCA MEZZOMO DR.
NPI 1639934243
Dentist - General Practice in Chicago, IL

Active since February 14, 2024
801 S PAULINA ST, CHICAGO, IL 60612(312) 342-6140 Get Directions Write a Review

NPPES record last updated: February 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Luis Andre Mendonca Mezzomo Dr. NPPES

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

LUIS ANDRE MENDONCA MEZZOMO DR. (NPI 1639934243) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (136000272) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1639934243
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameLUIS ANDRE MENDONCA MEZZOMOCredential: DR.
Location Address801 S PAULINA STChicago, IL 60612-7210
Mailing Address939 W Washington Blvd Apt W709Chicago, IL 60607-2263 · (312) 342-6140
Phone(312) 342-6140
Sole ProprietorNo
Enumeration DateFebruary 14, 2024
Last NPPES UpdateFebruary 16, 2024
NPPES CertifiedFebruary 16, 2024
✔ NPI 1639934243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 136000272
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.
Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X · License 136000272 (IL)
801 S PAULINA ST, Chicago, IL 60612
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Other Providers at the Same Location NPPES 20

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

KENNETH GEHRKE DDS
Dentist (General Practice)
801 S PAULINA ST, MC 621
CHICAGO, IL 60612
Cook County (312) 355-1661
DR. NATHANIEL DANCYKIER D.D.S.
Dentist (General Practice)
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-8925
PAULINE PHAM DDS
Dentist
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 355-1222
DR. RACHEL LYN DZIUBA DMD
Dentist
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-7555
DR. MARY ROMAN DDS
Dentist
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-7514
ANDREA E REALE REYES
Dentist (General Practice)
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-9158
RUBA HALASA
Student in an Organized Health Care Education/Training Program
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-2669
AMANDA BEATRIZ RODRIGUEZ BETANCOURT DDS
Student in an Organized Health Care Education/Training Program
801 S PAULINA ST
CHICAGO, IL 60612
Cook County (312) 996-7555

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 Luis Andre Mendonca Mezzomo's NPI number?

The NPI number for Luis Andre Mendonca Mezzomo is 1639934243. It was assigned to this individual provider in the NPPES registry on February 14, 2024.

Where is Luis Andre Mendonca Mezzomo located?

Luis Andre Mendonca Mezzomo practices at 801 S Paulina St, Chicago, IL 60612. The listed phone number is (312) 342-6140.

What is Luis Andre Mendonca Mezzomo'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 Luis Andre Mendonca Mezzomo was last updated on February 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.