CROWN JEWEL DENTAL LOFT
NPI 1811501570
Clinic/Center - Dental in Chicago, IL

Active since September 01, 2020
840 W IRVING PARK RD STE 407, CHICAGO, IL 60613(773) 248-8581 Get Directions Write a Review

NPPES record last updated: August 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 9, 2021, Sep 1, 2020 (2 updates tracked since 2020).

About Crown Jewel Dental Loft NPPES

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

CROWN JEWEL DENTAL LOFT (NPI 1811501570) is a healthcare organization registered as a dental in Chicago, Illinois and active in the NPI registry since September 2020. The organization maintains a secondary practice location in Chicago and lists Andrea Sidle, Dds, as its authorized official.

NPPES Registry Identity

NPI1811501570
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameANDREA N. SIDLE DDS PC
Location Address840 W IRVING PARK RD STE 407Chicago, IL 60613-3011
Mailing Address840 W Irving Park Rd Ste 407Chicago, IL 60613-3011 · (773) 248-8581
Organization SubpartNo
Authorized OfficialAndrea SidleDds · (816) 215-2904
Enumeration DateSeptember 1, 2020
Last NPPES UpdateAugust 9, 20212 updates tracked since enumeration
NPPES CertifiedAugust 9, 2021
NPI 1811501570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
840 W IRVING PARK RD STE 407, Chicago, IL 60613

Other Names 1

Doing Business AsCrown Jewel Dental Loft

Secondary Practice Location 1

Location 12200 N Halsted StChicago, IL 60614-3625 · Phone (773) 935-4444

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 Andrea N. Sidle Dds PC's NPI number?

The NPI number for Andrea N. Sidle Dds PC is 1811501570. It was assigned to this organization in the NPPES registry on September 1, 2020. The provider is doing business as Crown Jewel Dental Loft.

Where is Andrea N. Sidle Dds PC located?

Andrea N. Sidle Dds PC is located at 840 W Irving Park Rd Ste 407, Chicago, IL 60613. The listed phone number is (773) 248-8581.

What is Andrea N. Sidle Dds PC'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 Andrea N. Sidle Dds PC was last updated on August 9, 2021. 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.