OLD TOWN DENTAL CENTER
NPI 1659696995
Clinic/Center - Dental in Chicago, IL

Active since March 30, 2010
333 W NORTH AVE, CHICAGO, IL 60610(312) 751-1113 Get Directions Write a Review

NPPES record last updated: March 30, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Old Town Dental Center NPPES

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

OLD TOWN DENTAL CENTER (NPI 1659696995) is a healthcare organization registered as a dental in Chicago, Illinois and active in the NPI registry since March 2010. The organization lists Vlad Ferdkoff, President, as its authorized official.

NPPES Registry Identity

NPI1659696995
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameOLD TOWN DENTAL CENTER
Location Address333 W NORTH AVEChicago, IL 60610-1293
Mailing Address333 W North AveChicago, IL 60610-1293 · (312) 751-1113
Organization SubpartNo
Authorized OfficialVlad FerdkoffPresident · (312) 751-1113
Enumeration DateMarch 30, 2010
NPI 1659696995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License Licensed in IL · 019024754
333 W NORTH AVE, Chicago, IL 60610

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 Old Town Dental Center's NPI number?

The NPI number for Old Town Dental Center is 1659696995. It was assigned to this organization in the NPPES registry on March 30, 2010.

Where is Old Town Dental Center located?

Old Town Dental Center is located at 333 W North Ave, Chicago, IL 60610. The listed phone number is (312) 751-1113.

What is Old Town Dental Center'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 Old Town Dental Center was last updated on March 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.