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ADVANCED DENTAL MAKEOVER
NPI 1821492463
Dentist - General Practice in Chicago, IL

Active since October 10, 2014
4707 N PULASKI RD STE 103, CHICAGO, IL 60630(773) 604-5050(773) 604-5030 Get Directions Write a Review

NPPES record last updated: October 10, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Advanced Dental Makeover NPPES

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

ADVANCED DENTAL MAKEOVER (NPI 1821492463) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since October 2014. The organization lists Fawaz Kannout, Owner, as its authorized official.

NPPES Registry Identity

NPI1821492463
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePEARL DENTAL, LLC
Location Address4707 N PULASKI RD STE 103Chicago, IL 60630-4312
Mailing Address4707 N Pulaski Rd Ste 103Chicago, IL 60630-4312 · (773) 604-5050 · Fax (773) 604-5030
Phone(773) 604-5050
Fax(773) 604-5030
Organization SubpartNo
Authorized OfficialFawaz KannoutOwner · (773) 604-5050
Enumeration DateOctober 10, 2014
✔ NPI 1821492463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019024870
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.
4707 N PULASKI RD STE 103, Chicago, IL 60630
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Other Names 1

Doing Business AsAdvanced Dental Makeover

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

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 Pearl Dental, LLC's NPI number?

The NPI number for Pearl Dental, LLC is 1821492463. It was assigned to this organization in the NPPES registry on October 10, 2014. The provider is doing business as Advanced Dental Makeover.

Where is Pearl Dental, LLC located?

Pearl Dental, LLC is located at 4707 N Pulaski Rd Ste 103, Chicago, IL 60630. The listed phone number is (773) 604-5050.

What is Pearl Dental, LLC'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 Pearl Dental, LLC was last updated on October 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.