Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Active since February 09, 2007

4905 OLD ORCHARD SHOPPING CTR, SUITE 310, SKOKIE, IL 60077(847) 982-0640(847) 982-0644 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 29, 2026, Aug 22, 2020 (2 updates tracked since 2020).

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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 David Barack, Owner, as its authorized official.

NPPES Registry Identity

NPI1821139171

Entity TypeOrganization

Primary Taxonomy1223P0300X

Legal Business NameOLD ORCHARD PERIODONTICS & IMPLANT DENTISTRY LTD

Location Address4905 OLD ORCHARD SHOPPING CTR, SUITE 310Skokie, IL 60077-1425

Mailing Address4905 Old Orchard Ctr Ste 310Skokie, IL 60077-4740 · (847) 982-0640 · Fax (847) 982-0644

Phone(847) 982-0640

Fax(847) 982-0644

Organization SubpartNo

Authorized OfficialDavid BarackOwner · (847) 982-0640

Enumeration DateFebruary 9, 2007

Last NPPES UpdateJuly 29, 20262 updates tracked since enumeration

NPPES CertifiedJuly 29, 2026

✔ NPI 1821139171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers

Taxonomy Code1223P0300X

License✔ Licensed in IL · 021001143

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.

4905 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 3

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

DR. CONSTANTINE T FRANTZIDES MD, PHD, FACS

Surgery

4905 OLD ORCHARD SHOPPING CTR, SUITE 409
SKOKIE, IL 60077

Cook County (847) 676-2200

ALAN E LASSER MD SC

Dermatology

4905 OLD ORCHARD SHOPPING CTR, SUITE 318
SKOKIE, IL 60077

Cook County (847) 674-1570

DAVID BARACK D.D.S.

Dentist (Periodontics)

4905 OLD ORCHARD SHOPPING CTR, SUITE 310
SKOKIE, IL 60077

Cook County (847) 982-0640

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 4905 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 July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.