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PORTAGE PARK DENTAL STUDIO
NPI 1659012920
Clinic/Center - Dental in Chicago, IL

Active since April 02, 2022
5955 W IRVING PARK RD, CHICAGO, IL 60634(773) 481-9455 Get Directions Write a Review

NPPES record last updated: April 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Portage Park Dental Studio NPPES

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

PORTAGE PARK DENTAL STUDIO (NPI 1659012920) is a healthcare organization registered as a dental in Chicago, Illinois and active in the NPI registry since April 2022. The organization lists Darren Dwayne Simpson, Owner, as its authorized official.

NPPES Registry Identity

NPI1659012920
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePORTAGE PARK DENTAL STUDIO
Location Address5955 W IRVING PARK RDChicago, IL 60634-2618
Mailing Address1224 Laura LnWoodridge, IL 60517-5062 · (708) 369-4076
Phone(773) 481-9455
Organization SubpartNo
Authorized OfficialDarren Dwayne SimpsonOwner · (708) 369-4076
Enumeration DateApril 2, 2022
NPPES CertifiedApril 2, 2022
✔ NPI 1659012920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
5955 W IRVING PARK RD, Chicago, IL 60634
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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.

COPELAND DENTAL, INC.
Dentist (General Practice)
5955 W IRVING PARK RD
CHICAGO, IL 60634
Cook County (708) 927-5111
DR. MAUREEN COPELAND D.D.S.
Dentist (General Practice)
5955 W IRVING PARK RD
CHICAGO, IL 60634
Cook County (773) 481-9455

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 Portage Park Dental Studio's NPI number?

The NPI number for Portage Park Dental Studio is 1659012920. It was assigned to this organization in the NPPES registry on April 2, 2022.

Where is Portage Park Dental Studio located?

Portage Park Dental Studio is located at 5955 W Irving Park Rd, Chicago, IL 60634. The listed phone number is (773) 481-9455.

What is Portage Park Dental Studio'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 Portage Park Dental Studio was last updated on April 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.