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DISTINCTIVE DENTISTRY
NPI 1851529382
Dentist - General Practice in Oak Park, IL

Active since June 23, 2009
106 S RIDGELAND AVE, #408, OAK PARK, IL 60302(312) 545-8671 Get Directions Write a Review

NPPES record last updated: June 23, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Distinctive Dentistry NPPES

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

DISTINCTIVE DENTISTRY (NPI 1851529382) is a healthcare organization registered as a general practice in Oak Park, Illinois and active in the NPI registry since June 2009. The organization lists Conrad Magno, President, as its authorized official.

NPPES Registry Identity

NPI1851529382
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCHICAGO DENTAL SPA, LTD.
Location Address106 S RIDGELAND AVE, #408Oak Park, IL 60302-4613
Mailing Address106 S Ridgeland Ave, #408Oak Park, IL 60302-4613 · (312) 545-8671
Phone(312) 545-8671
Organization SubpartNo
Authorized OfficialConrad MagnoPresident · (312) 545-8671
Enumeration DateJune 23, 2009
✔ NPI 1851529382 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 · 019.026625
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.
106 S RIDGELAND AVE, Oak Park, IL 60302
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Other Names 1

Doing Business AsDistinctive Dentistry

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 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 Chicago Dental Spa, Ltd.'s NPI number?

The NPI number for Chicago Dental Spa, Ltd. is 1851529382. It was assigned to this organization in the NPPES registry on June 23, 2009. The provider is doing business as Distinctive Dentistry.

Where is Chicago Dental Spa, Ltd. located?

Chicago Dental Spa, Ltd. is located at 106 S Ridgeland Ave #408, Oak Park, IL 60302. The listed phone number is (312) 545-8671.

What is Chicago Dental Spa, Ltd.'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 Chicago Dental Spa, Ltd. was last updated on June 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.