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PERIODONTAL MEDICINE AND SURGICAL SPECIALISTS, LLC
NPI 1811036718
Clinic/Center - Dental in Oakbrook Terrace, IL

Active since February 06, 2007
1S224 SUMMIT AVE, SUITE 205, OAKBROOK TERRACE, IL 60181(630) 627-3930(630) 627-2148 Get Directions Write a Review

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

About Periodontal Medicine And Surgical Specialists, Llc NPPES

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

PERIODONTAL MEDICINE AND SURGICAL SPECIALISTS, LLC (NPI 1811036718), doing business as Periodontal Medicine And Surgical Specialists, Ltd, is a healthcare organization registered as a dental in Oakbrook Terrace, Illinois and active in the NPI registry since February 2007. The organization lists George A Mandelaris, Owner Periodontist, as its authorized official.

NPPES Registry Identity

NPI1811036718
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePERIODONTAL MEDICINE AND SURGICAL SPECIALISTS, LLC
Location Address1S224 SUMMIT AVE, SUITE 205Oakbrook Terrace, IL 60181-3983
Mailing Address1s224 Summit Ave, Suite 205Oakbrook Terrace, IL 60181-3983 · (630) 627-3930 · Fax (630) 627-2148
Phone(630) 627-3930
Fax(630) 627-2148
Organization SubpartNo
Authorized OfficialGeorge A MandelarisOwner Periodontist · (630) 627-3930
Enumeration DateFebruary 6, 2007
Last NPPES UpdateDecember 16, 2016
✔ NPI 1811036718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in IL · 060-003629
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X · License 019024971 (IL), 019014972 (IL), 019030200 (IL)
1S224 SUMMIT AVE, Oakbrook Terrace, IL 60181
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Other Names 1

Former Legal Business NamePeriodontal Medicine And Surgical Specialists, Ltd

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

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

KAMAL N. IBRAHIM M.D.
Orthopaedic Surgery
1S224 SUMMIT AVE, SUITE 203
OAKBROOK TERRACE, IL 60181
Dupage County (630) 620-4141
MRS. CAITLIN MARIE FLICEK CCC-SLP
Speech-Language Pathologist
1S224 SUMMIT AVE, SUITE 101
OAKBROOK TERRACE, IL 60181
Dupage County (877) 216-5437
BRADLEY S DEGROOT DDS
Dentist
1S224 SUMMIT AVE, #205
OAKBROOK TERRACE, IL 60181
Dupage County (630) 627-3930
DR. ALAN L ROSENFELD DDS, FACD
Dentist (Periodontics)
1S224 SUMMIT AVE, SUITE 205
OAKBROOK TERRACE, IL 60181
Dupage County (630) 627-3930
ACMI PAIN CARE LLC
Pain Medicine (Interventional Pain Medicine)
1S224 SUMMIT AVE, STE 301
OAKBROOK TERRACE, IL 60181
Dupage County (847) 854-7246
SOFT LANDING INTERVENTIONS
Clinic/Center (Health Service)
1S224 SUMMIT AVE, SUITE 310
OAKBROOK TERRACE, IL 60181
Dupage County (630) 261-9220
DR. VIRGINIA THERESE ALLEN M.D.
Dermatology
1S224 SUMMIT AVE, SUITE 106
OAKBROOK TERRACE, IL 60181
Dupage County (630) 953-1190
DR. GEORGE A MANDELARIS DDS
Dentist (Periodontics)
1S224 SUMMIT AVE
OAKBROOK TERRACE, IL 60181
Dupage County (630) 627-3930

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 Periodontal Medicine And Surgical Specialists, LLC's NPI number?

The NPI number for Periodontal Medicine And Surgical Specialists, LLC is 1811036718. It was assigned to this organization in the NPPES registry on February 6, 2007. The provider was formerly known as Periodontal Medicine And Surgical Specialists, Ltd.

Where is Periodontal Medicine And Surgical Specialists, LLC located?

Periodontal Medicine And Surgical Specialists, LLC is located at 1s224 Summit Ave Suite 205, Oakbrook Terrace, IL 60181. The listed phone number is (630) 627-3930.

What is Periodontal Medicine And Surgical Specialists, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Periodontal Medicine And Surgical Specialists, LLC was last updated on December 16, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.