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GARGIULO PERIODONTICS
NPI 1780538504
Dentist - Periodontics in Chicago, IL

Active since February 26, 2026
4200 W PETERSON AVE STE 128, CHICAGO, IL 60646(773) 286-4800(773) 243-0043 Get Directions Write a Review

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

About Gargiulo Periodontics NPPES

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

GARGIULO PERIODONTICS (NPI 1780538504) is a healthcare organization registered as a periodontics in Chicago, Illinois and active in the NPI registry since February 2026. The organization lists Alejandra Baca, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1780538504
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameGARGIULO PERIODONTICS
Location Address4200 W PETERSON AVE STE 128Chicago, IL 60646-6812
Mailing Address4200 W Peterson Ave Ste 128Chicago, IL 60646-6812 · (773) 286-4800 · Fax (773) 243-0043
Phone(773) 286-4800
Fax(773) 243-0043
Organization SubpartNo
Authorized OfficialAlejandra BacaPractice Manager · (773) 286-4800
Enumeration DateFebruary 26, 2026
NPPES CertifiedFebruary 26, 2026
✔ NPI 1780538504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
4200 W PETERSON AVE STE 128, Chicago, IL 60646
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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 Gargiulo Periodontics's NPI number?

The NPI number for Gargiulo Periodontics is 1780538504. It was assigned to this organization in the NPPES registry on February 26, 2026.

Where is Gargiulo Periodontics located?

Gargiulo Periodontics is located at 4200 W Peterson Ave Ste 128, Chicago, IL 60646. The listed phone number is (773) 286-4800.

What is Gargiulo Periodontics's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Gargiulo Periodontics was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.