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MICHAEL R MINTZ D.D.S.,P.C.
NPI 1689889727
Dentist - General Practice in Chicago, IL

Active since May 11, 2007
990 W FULLERTON AVE, SUITE 450, CHICAGO, IL 60614(773) 935-1855(773) 935-1888 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael R Mintz D.d.s.,p.c. NPPES

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

MICHAEL R MINTZ D.D.S.,P.C. (NPI 1689889727) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since May 2007. The organization lists Michael Royal Mintz, President, as its authorized official.

NPPES Registry Identity

NPI1689889727
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMICHAEL R MINTZ D.D.S.,P.C.
Location Address990 W FULLERTON AVE, SUITE 450Chicago, IL 60614-2458
Mailing Address990 W Fullerton Ave, Suite 450Chicago, IL 60614-2458 · (773) 935-1855 · Fax (773) 935-1888
Phone(773) 935-1855
Fax(773) 935-1888
Organization SubpartNo
Authorized OfficialMichael Royal MintzPresident · (773) 935-1855
Enumeration DateMay 11, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1689889727 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.
990 W FULLERTON AVE, Chicago, IL 60614
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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

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.

MR. LARRY JAMES MATURIN JR. RN, APN, ACNS-BC
Clinical Nurse Specialist
990 W FULLERTON AVE
CHICAGO, IL 60614
Cook County (815) 603-6212
ALYSSA KONDRATIUK DNP
Nurse Practitioner (Family)
990 W FULLERTON AVE
CHICAGO, IL 60614
Cook County (773) 325-8490
DR. MICHAEL ROYAL MINTZ
Dentist (General Practice)
990 W FULLERTON AVE, SUITE 450
CHICAGO, IL 60614
Cook County (773) 935-1855
DR. EDMUND VAL PADLECKAS D.D.S.
Dentist
990 W FULLERTON AVE, SUITE 460
CHICAGO, IL 60614
Cook County (773) 975-9606

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 Michael R Mintz D.D.S.,p.C.'s NPI number?

The NPI number for Michael R Mintz D.D.S.,p.C. is 1689889727. It was assigned to this organization in the NPPES registry on May 11, 2007.

Where is Michael R Mintz D.D.S.,p.C. located?

Michael R Mintz D.D.S.,p.C. is located at 990 W Fullerton Ave Suite 450, Chicago, IL 60614. The listed phone number is (773) 935-1855.

What is Michael R Mintz D.D.S.,p.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Michael R Mintz D.D.S.,p.C. 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.