105 W MADISON DENTAL PC
NPI 1730674227
Dentist in Chicago, IL

Q: What is 105 W Madison Dental PC's NPI number?

The NPI number for 105 W Madison Dental PC is 1730674227. It was assigned to this organization in the NPPES registry on June 27, 2018.

Q: What is 105 W Madison Dental PC's specialty?

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

Active since June 27, 2018

105 W MADISON ST STE 300, CHICAGO, IL 60602(561) 899-4595 Get Directions Write a Review

NPPES record last updated: June 27, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About 105 W Madison Dental Pc NPPES

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

105 W MADISON DENTAL PC (NPI 1730674227) is a healthcare organization registered as a dentist in Chicago, Illinois and active in the NPI registry since June 2018. The organization lists Timothy Skidmore, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1730674227

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business Name105 W MADISON DENTAL PC

Location Address105 W MADISON ST STE 300Chicago, IL 60602-4602

Mailing Address600 Fairway Dr Ste 206Deerfield Beach, FL 33441-1807 · (561) 899-4595

Phone(561) 899-4595

Organization SubpartNo

Authorized OfficialTimothy SkidmorePractice Administrator · (630) 816-9064

Enumeration DateJune 27, 2018

✔ NPI 1730674227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

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.

105 W MADISON ST STE 300, Chicago, IL 60602

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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

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 105 W Madison Dental PC's NPI number?

The NPI number for 105 W Madison Dental PC is 1730674227. It was assigned to this organization in the NPPES registry on June 27, 2018.

Where is 105 W Madison Dental PC located?

105 W Madison Dental PC is located at 105 W Madison St Ste 300, Chicago, IL 60602. The listed phone number is (561) 899-4595.

What is 105 W Madison Dental PC'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 105 W Madison Dental PC was last updated on June 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.