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DENTAL 360-BUCKTOWN LLC
NPI 1689264616
Dentist - General Practice in Chicago, IL

Active since January 23, 2021
2500 W NORTH AVE, CHICAGO, IL 60647(773) 360-1281 Get Directions Write a Review

NPPES record last updated: January 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dental 360-bucktown Llc NPPES

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

DENTAL 360-BUCKTOWN LLC (NPI 1689264616) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since January 2021. The organization lists Mohammed Parvez, Member, as its authorized official.

NPPES Registry Identity

NPI1689264616
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDENTAL 360-BUCKTOWN LLC
Location Address2500 W NORTH AVEChicago, IL 60647-5202
Mailing Address2500 W North AveChicago, IL 60647-5202
Phone(773) 360-1281
Organization SubpartNo
Authorized OfficialMohammed ParvezMember · (773) 798-9382
Enumeration DateJanuary 23, 2021
NPPES CertifiedJanuary 23, 2021
✔ NPI 1689264616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
2500 W NORTH AVE, Chicago, IL 60647
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Other Providers at the Same Location NPPES 4

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

DENTAL MAGIC NORTH AVE, INC
Dentist (General Practice)
2500 W NORTH AVE
CHICAGO, IL 60647
Cook County (773) 360-1281
D2 DENTAL OF LANSING, P.C.
Dentist (General Practice)
2500 W NORTH AVE
CHICAGO, IL 60647
Cook County (773) 360-1281
DR. KYLE JOSEPH FAIRBANKS DMD
Dentist
2500 W NORTH AVE
CHICAGO, IL 60647
Cook County (773) 360-1281
DR. NASIM KHOSHFETRAT DMD
Dentist
2500 W NORTH AVE
CHICAGO, IL 60647
Cook County (773) 360-1281

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 Dental 360-Bucktown LLC's NPI number?

The NPI number for Dental 360-Bucktown LLC is 1689264616. It was assigned to this organization in the NPPES registry on January 23, 2021.

Where is Dental 360-Bucktown LLC located?

Dental 360-Bucktown LLC is located at 2500 W North Ave, Chicago, IL 60647. The listed phone number is (773) 360-1281.

What is Dental 360-Bucktown LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Dental 360-Bucktown LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Dental 360-Bucktown LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dental 360-Bucktown LLC was last updated on January 23, 2021. 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.