MIDWAY FAMILY DENTAL, LLC
NPI 1730747338
Dentist in Chicago, IL

Q: What is Midway Family Dental, LLC's NPI number?

The NPI number for Midway Family Dental, LLC is 1730747338. It was assigned to this organization in the NPPES registry on May 30, 2019. The provider is doing business as 63 Family Dental.

Q: What is Midway Family Dental, LLC's specialty?

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

Active since May 30, 2019

6258 S PULASKI RD, CHICAGO, IL 60629(773) 777-6363 Get Directions Write a Review

NPPES record last updated: May 30, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Midway Family Dental, Llc NPPES

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

MIDWAY FAMILY DENTAL, LLC (NPI 1730747338), doing business as 63 Family Dental, is a healthcare organization registered as a dentist in Chicago, Illinois and active in the NPI registry since May 2019. The organization lists Ghazal S Kermani, Manager/owner, as its authorized official.

NPPES Registry Identity

NPI1730747338

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameMIDWAY FAMILY DENTAL, LLC

Location Address6258 S PULASKI RDChicago, IL 60629-4610

Mailing Address6258 S Pulaski RdChicago, IL 60629-4610 · (773) 777-6363

Phone(773) 777-6363

Organization SubpartNo

Authorized OfficialGhazal S KermaniManager/owner · (949) 701-5320

Enumeration DateMay 30, 2019

✔ NPI 1730747338 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.

6258 S PULASKI RD, Chicago, IL 60629

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Other Names 1

Doing Business As63 Family Dental

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 3

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

DINA MAHDI ALSSAEAIDI

Dentist (General Practice)

6258 S PULASKI RD
CHICAGO, IL 60629

Cook County (773) 777-6363

PULASKI ROAD DENTISTRY PLLC

Dentist

6258 S PULASKI RD
CHICAGO, IL 60629

Cook County (773) 777-6363

ROHAM KASHANIMOGHADDAM

Dentist

6258 S PULASKI RD
CHICAGO, IL 60629

Cook County (773) 777-6363

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 Midway Family Dental, LLC's NPI number?

The NPI number for Midway Family Dental, LLC is 1730747338. It was assigned to this organization in the NPPES registry on May 30, 2019. The provider is doing business as 63 Family Dental.

Where is Midway Family Dental, LLC located?

Midway Family Dental, LLC is located at 6258 S Pulaski Rd, Chicago, IL 60629. The listed phone number is (773) 777-6363.

What is Midway Family Dental, LLC's specialty?

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

What insurance does Midway Family Dental, LLC accept?

Health plans from UnitedHealthcare list Midway Family Dental, 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 Midway Family Dental, LLC was last updated on May 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.