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PINE DENTAL CARE
NPI 1649496514
Dentist - Pediatric Dentistry in Chicago, IL

Active since April 18, 2007
2536 N LINCOLN AVE, CHICAGO, IL 60614(773) 880-5455(773) 880-5809 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pine Dental Care NPPES

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

PINE DENTAL CARE (NPI 1649496514) is a healthcare organization registered as a pediatric dentistry in Chicago, Illinois and active in the NPI registry since April 2007. The organization lists Charles Stanley Czerepak, President, as its authorized official.

NPPES Registry Identity

NPI1649496514
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePINE DENTAL CARE
Location Address2536 N LINCOLN AVEChicago, IL 60614-2889
Mailing Address2536 N Lincoln AveChicago, IL 60614-2889 · (773) 880-5455 · Fax (773) 880-5809
Phone(773) 880-5455
Fax(773) 880-5809
Organization SubpartNo
Authorized OfficialCharles Stanley CzerepakPresident · (773) 880-5455
Enumeration DateApril 18, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1649496514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2536 N LINCOLN AVE, Chicago, IL 60614
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

CHARLES STANLEY CZEREPAK D.M.D.
Dentist (Pediatric Dentistry)
2536 N LINCOLN AVE
CHICAGO, IL 60614
Cook County (773) 880-5455
DR. NANCY E HIJJAWI D.D.S.,M.S.
Dentist (Pediatric Dentistry)
2536 N LINCOLN AVE
CHICAGO, IL 60614
Cook County (773) 880-5455

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 Pine Dental Care's NPI number?

The NPI number for Pine Dental Care is 1649496514. It was assigned to this organization in the NPPES registry on April 18, 2007.

Where is Pine Dental Care located?

Pine Dental Care is located at 2536 N Lincoln Ave, Chicago, IL 60614. The listed phone number is (773) 880-5455.

What is Pine Dental Care's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Pine Dental Care was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.