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LINCOLNWOOD MALL DENTAL
NPI 1801263090
Dentist in Lincolnwood, IL

Active since August 24, 2015
3333 W TOUHY AVE, LINCOLNWOOD, IL 60712(917) 902-9515 Get Directions Write a Review

NPPES record last updated: August 24, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lincolnwood Mall Dental NPPES

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

LINCOLNWOOD MALL DENTAL (NPI 1801263090) is a healthcare organization registered as a dentist in Lincolnwood, Illinois and active in the NPI registry since August 2015. The organization lists Rostislav Krasnov, President, as its authorized official.

NPPES Registry Identity

NPI1801263090
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameCHICAGO MALL DENTAL, LLC
Location Address3333 W TOUHY AVELincolnwood, IL 60712-2721
Mailing Address3333 W Touhy AveLincolnwood, IL 60712-2721
Phone(917) 902-9515
Organization SubpartNo
Authorized OfficialRostislav KrasnovPresident · (786) 475-7600
Enumeration DateAugust 24, 2015
✔ NPI 1801263090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019.028976
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.
3333 W TOUHY AVE, Lincolnwood, IL 60712
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Other Names 1

Doing Business AsLincolnwood Mall 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

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.

JEFFREY T MANTERNACH O.D.
Optometrist
3333 W TOUHY AVE, LINCOLNWOOD TOWN CENTER
LINCOLNWOOD, IL 60712
Cook County (847) 675-8637
DO J PAK O.D.
Optometrist
3333 W TOUHY AVE, LINCOLNWOOD TOWN CTR
LINCOLNWOOD, IL 60712
Cook County (847) 675-8637
VISIONWORKS INC
Eyewear Supplier
3333 W TOUHY AVE
LINCOLNWOOD, IL 60712
Cook County (847) 673-3902

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 Chicago Mall Dental, LLC's NPI number?

The NPI number for Chicago Mall Dental, LLC is 1801263090. It was assigned to this organization in the NPPES registry on August 24, 2015. The provider is doing business as Lincolnwood Mall Dental.

Where is Chicago Mall Dental, LLC located?

Chicago Mall Dental, LLC is located at 3333 W Touhy Ave, Lincolnwood, IL 60712. The listed phone number is (917) 902-9515.

What is Chicago Mall Dental, LLC'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 Chicago Mall Dental, LLC was last updated on August 24, 2015. 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.