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OLD ORCHARD PERIODONTICS & IMPLANT DENTISTRY LTD
NPI 1821139171
Dentist - Periodontics in Skokie, IL

Active since February 09, 2007
64 OLD ORCHARD SHOPPING CTR, SUITE 310, SKOKIE, IL 60077(847) 982-0640 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Old Orchard Periodontics & Implant Dentistry Ltd NPPES

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

OLD ORCHARD PERIODONTICS & IMPLANT DENTISTRY LTD (NPI 1821139171) is a healthcare organization registered as a periodontics in Skokie, Illinois and active in the NPI registry since February 2007. The organization lists Kimberly Keating, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1821139171
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameOLD ORCHARD PERIODONTICS & IMPLANT DENTISTRY LTD
Location Address64 OLD ORCHARD SHOPPING CTR, SUITE 310Skokie, IL 60077-1425
Mailing Address64 Old Orchard Shopping Ctr, Suite 310Skokie, IL 60077-1425
Phone(847) 982-0640
Organization SubpartNo
Authorized OfficialKimberly KeatingOffice Manager · (847) 982-0640
Enumeration DateFebruary 9, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1821139171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

64 OLD ORCHARD SHOPPING CTR, Skokie, IL 60077
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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 13

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

DAVID A. KANAREK, DDS, PC.
Dentist (General Practice)
64 OLD ORCHARD SHOPPING CTR, SUITE 512
SKOKIE, IL 60077
Cook County (847) 677-5600
KERZNER ORTHODONTICS, PC
Specialist
64 OLD ORCHARD SHOPPING CTR, SUITE 410
SKOKIE, IL 60077
Cook County (847) 676-2270
ARLYN P. STERN LCSW
Social Worker (Clinical)
64 OLD ORCHARD SHOPPING CTR, SUITE 435
SKOKIE, IL 60077
Cook County (847) 853-9325
DR. DAVID A KANAREK DDS
Dentist (General Practice)
64 OLD ORCHARD SHOPPING CTR, SUITE 512
SKOKIE, IL 60077
Cook County (847) 677-5600
DRS. WEISBART AND SARNA
Dentist (Endodontics)
64 OLD ORCHARD SHOPPING CTR, SUITE 308
SKOKIE, IL 60077
Cook County (884) 767-6178
DR. ROBERT ALAN FRIEDSTAT DDS
Dentist (General Practice)
64 OLD ORCHARD SHOPPING CTR, SUITE 535
SKOKIE, IL 60077
Cook County (847) 674-5556
DR. MICHAEL ROBERT OREMLAND D.D.S.
Dentist (Periodontics)
64 OLD ORCHARD SHOPPING CTR, SUITE 310
SKOKIE, IL 60077
Cook County (847) 982-0640
MISS CYNTHIA DENISE DOUCETTE AM, LCSW
Social Worker (Clinical)
64 OLD ORCHARD SHOPPING CTR, SUITE 435
SKOKIE, IL 60077
Cook County (847) 256-5282

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 Old Orchard Periodontics & Implant Dentistry Ltd's NPI number?

The NPI number for Old Orchard Periodontics & Implant Dentistry Ltd is 1821139171. It was assigned to this organization in the NPPES registry on February 9, 2007.

Where is Old Orchard Periodontics & Implant Dentistry Ltd located?

Old Orchard Periodontics & Implant Dentistry Ltd is located at 64 Old Orchard Shopping Ctr Suite 310, Skokie, IL 60077. The listed phone number is (847) 982-0640.

What is Old Orchard Periodontics & Implant Dentistry Ltd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Old Orchard Periodontics & Implant Dentistry Ltd was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.