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TOOTH FAIRY WORLD PC
NPI 1811055072
Dentist - Pediatric Dentistry in Chicago, IL

Active since December 04, 2006
2069 NORTH CLYBOURN AVENUE, CHICAGO, IL 60614(773) 327-3331(773) 868-6453 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tooth Fairy World Pc NPPES

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

TOOTH FAIRY WORLD PC (NPI 1811055072) is a healthcare organization registered as a pediatric dentistry in Chicago, Illinois and active in the NPI registry since December 2006. The organization lists Marylene Vitiello, President Of Corporation, as its authorized official.

NPPES Registry Identity

NPI1811055072
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameTOOTH FAIRY WORLD PC
Location Address2069 NORTH CLYBOURN AVENUEChicago, IL 60614
Mailing Address2069 N Clybourn AveChicago, IL 60614 · (773) 327-3331
Phone(773) 327-3331
Fax(773) 868-6453
Organization SubpartNo
Authorized OfficialMarylene VitielloPresident Of Corporation · (773) 327-3331
Enumeration DateDecember 4, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1811055072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2069 NORTH CLYBOURN AVENUE, Chicago, IL 60614
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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

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 Tooth Fairy World PC's NPI number?

The NPI number for Tooth Fairy World PC is 1811055072. It was assigned to this organization in the NPPES registry on December 4, 2006.

Where is Tooth Fairy World PC located?

Tooth Fairy World PC is located at 2069 North Clybourn Avenue, Chicago, IL 60614. The listed phone number is (773) 327-3331.

What is Tooth Fairy World PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Tooth Fairy World PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.