1. Home
  2. Directory
  3. Illinois
  4. Melrose Park
  5. Dentist
  6. NPI Profile

THE DENTAL OFFICE AT MELROSE PARK
NPI 1811362791
Dentist - General Practice in Melrose Park, IL

Active since December 03, 2015
818 N 19TH AVE, MELROSE PARK, IL 60160(708) 450-1170(708) 450-0008 Get Directions Write a Review

NPPES record last updated: December 3, 2015. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About The Dental Office At Melrose Park NPPES

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

THE DENTAL OFFICE AT MELROSE PARK (NPI 1811362791) is a healthcare organization registered as a general practice in Melrose Park, Illinois and active in the NPI registry since December 2015. The organization lists Theodore Harry Dimoulis, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1811362791
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDIMOULIS DENTAL P.C.
Location Address818 N 19TH AVEMelrose Park, IL 60160-3726
Mailing Address818 N 19th AveMelrose Park, IL 60160-3726 · (708) 450-1170 · Fax (708) 450-0008
Phone(708) 450-1170
Fax(708) 450-0008
Organization SubpartNo
Authorized OfficialTheodore Harry DimoulisOwner/dentist · (847) 651-2692
Enumeration DateDecember 3, 2015
✔ NPI 1811362791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019.030253
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X
Also ListedDentist · Oral and Maxillofacial SurgeryTaxonomy 1223S0112X
818 N 19TH AVE, Melrose Park, IL 60160
Open in Google Maps ↗

Other Names 1

Doing Business AsThe Dental Office At Melrose Park

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 4

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

ANTONIA PETROSINO DDS
Dentist (General Practice)
818 N 19TH AVE
MELROSE PARK, IL 60160
Cook County (708) 450-1170
DR. ALBERT MICHAEL CASTELLAN DDS
Dentist (General Practice)
818 N 19TH AVE
MELROSE PARK, IL 60160
Cook County (708) 450-1170
DR. KATERINE DIMOULIS D.M.D
Dentist
818 N 19TH AVE
MELROSE PARK, IL 60160
Cook County (708) 450-1170
DR. ROBERT DEANGELES DDS
Dentist
818 N 19TH AVE
MELROSE PARK, IL 60160
Cook County (708) 450-1170

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 Dimoulis Dental P.C.'s NPI number?

The NPI number for Dimoulis Dental P.C. is 1811362791. It was assigned to this organization in the NPPES registry on December 3, 2015. The provider is doing business as The Dental Office At Melrose Park.

Where is Dimoulis Dental P.C. located?

Dimoulis Dental P.C. is located at 818 N 19th Ave, Melrose Park, IL 60160. The listed phone number is (708) 450-1170.

What is Dimoulis Dental P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Dimoulis Dental P.C. was last updated on December 3, 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.