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LLCDENTAL,
NPI 1669924833
Dentist in Olympia Fields, IL

Active since November 03, 2016
3494 VOLLMER RD, OLYMPIA FIELDS, IL 60461(708) 747-2273(708) 747-2238 Get Directions Write a Review

NPPES record last updated: November 3, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Llcdental, NPPES

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

LLCDENTAL, (NPI 1669924833) is a healthcare organization registered as a dentist in Olympia Fields, Illinois and active in the NPI registry since November 2016. The organization lists Kevin Dale Mimms, Manager, as its authorized official.

NPPES Registry Identity

NPI1669924833
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameLLCDENTAL,
Location Address3494 VOLLMER RDOlympia Fields, IL 60461-1018
Mailing Address3494 Vollmer RdOlympia Fields, IL 60461-1018 · (708) 747-2273 · Fax (708) 747-2238
Phone(708) 747-2273
Fax(708) 747-2238
Organization SubpartNo
Authorized OfficialKevin Dale MimmsManager · (708) 747-2273
Enumeration DateNovember 3, 2016
✔ NPI 1669924833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019020348
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
3494 VOLLMER RD, Olympia Fields, IL 60461
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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

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 Llcdental,'s NPI number?

The NPI number for Llcdental, is 1669924833. It was assigned to this organization in the NPPES registry on November 3, 2016.

Where is Llcdental, located?

Llcdental, is located at 3494 Vollmer Rd, Olympia Fields, IL 60461. The listed phone number is (708) 747-2273.

What is Llcdental,'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Llcdental, was last updated on November 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.