SKYLINE SMILES OF ROSCOE VILLAGE LLC
NPI 1720433915
Dentist - General Practice in Chicago, IL

Q: What is Skyline Smiles Of Roscoe Village LLC's NPI number?

The NPI number for Skyline Smiles Of Roscoe Village LLC is 1720433915. It was assigned to this organization in the NPPES registry on April 26, 2016.

Q: What is Skyline Smiles Of Roscoe Village LLC's specialty?

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

Active since April 26, 2016

2125 W ROSCOE ST, UNIT A, CHICAGO, IL 60618(312) 759-1120(312) 624-9217 Get Directions Write a Review

NPPES record last updated: April 26, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Skyline Smiles Of Roscoe Village Llc NPPES

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

SKYLINE SMILES OF ROSCOE VILLAGE LLC (NPI 1720433915) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since April 2016. The organization lists Deepak Neduvelil, Owner, as its authorized official.

NPPES Registry Identity

NPI1720433915

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameSKYLINE SMILES OF ROSCOE VILLAGE LLC

Location Address2125 W ROSCOE ST, UNIT AChicago, IL 60618-6219

Mailing Address2125 W Roscoe St, Unit AChicago, IL 60618-6219 · (312) 759-1120 · Fax (312) 624-9217

Phone(312) 759-1120

Fax(312) 624-9217

Organization SubpartNo

Authorized OfficialDeepak NeduvelilOwner · (312) 759-1120

Enumeration DateApril 26, 2016

✔ NPI 1720433915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 019027964

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.

2125 W ROSCOE ST, Chicago, IL 60618

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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 Skyline Smiles Of Roscoe Village LLC's NPI number?

The NPI number for Skyline Smiles Of Roscoe Village LLC is 1720433915. It was assigned to this organization in the NPPES registry on April 26, 2016.

Where is Skyline Smiles Of Roscoe Village LLC located?

Skyline Smiles Of Roscoe Village LLC is located at 2125 W Roscoe St Unit A, Chicago, IL 60618. The listed phone number is (312) 759-1120.

What is Skyline Smiles Of Roscoe Village LLC'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 Skyline Smiles Of Roscoe Village LLC was last updated on April 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.