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PRO DENTAL IL - CHAD WISE PC
NPI 1861229148
Dentist - General Practice in Niles, IL

Active since September 19, 2024
5622 W TOUHY AVE, NILES, IL 60714(847) 983-4202(847) 983-8403 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pro Dental Il - Chad Wise Pc NPPES

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

PRO DENTAL IL - CHAD WISE PC (NPI 1861229148), doing business as Destiny Dental Of Niles, is a healthcare organization registered as a general practice in Niles, Illinois and active in the NPI registry since September 2024. The organization lists Simone Wilson-adeleke, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1861229148
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePRO DENTAL IL - CHAD WISE PC
Location Address5622 W TOUHY AVENiles, IL 60714-4001
Mailing Address10 Woodbridge Center Dr Ste 520Woodbridge, NJ 07095-1152 · (732) 731-8398
Phone(847) 983-4202
Fax(847) 983-8403
Organization SubpartNo
Authorized OfficialSimone Wilson-adelekeDirector Of Credentialing · (732) 731-8398
Enumeration DateSeptember 19, 2024
NPPES CertifiedSeptember 19, 2024
✔ NPI 1861229148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
5622 W TOUHY AVE, Niles, IL 60714
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Other Names 1

Doing Business AsDestiny Dental Of Niles

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

DENTAL MAGIC OF NILES
Dentist (General Practice)
5622 W TOUHY AVE
NILES, IL 60714
Cook County (773) 360-1281
DENTAL MAGIC TOUHY, INC
Dentist (General Practice)
5622 W TOUHY AVE
NILES, IL 60714
Cook County (847) 983-4202
DR. VRUSHTI PRAHARSH PATEL DDS, BDS
Dentist
5622 W TOUHY AVE
NILES, IL 60714
Cook County (847) 983-4202
D2 DENTAL OF LANSING, P.C.
Dentist (General Practice)
5622 W TOUHY AVE
NILES, IL 60714
Cook County (847) 983-4202

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 Pro Dental Il - Chad Wise PC's NPI number?

The NPI number for Pro Dental Il - Chad Wise PC is 1861229148. It was assigned to this organization in the NPPES registry on September 19, 2024. The provider is doing business as Destiny Dental of Niles.

Where is Pro Dental Il - Chad Wise PC located?

Pro Dental Il - Chad Wise PC is located at 5622 W Touhy Ave, Niles, IL 60714. The listed phone number is (847) 983-4202.

What is Pro Dental Il - Chad Wise PC'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 Pro Dental Il - Chad Wise PC was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.