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BRIDGEPORT DENTAL SPECIALISTS, LLC
NPI 1891025540
Dentist in Chicago, IL

Active since December 31, 2009
2959 S WALLACE ST, CHICAGO, IL 60616(312) 326-5437 Get Directions Write a Review

NPPES record last updated: December 31, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bridgeport Dental Specialists, Llc NPPES

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

BRIDGEPORT DENTAL SPECIALISTS, LLC (NPI 1891025540) is a healthcare organization registered as a dentist in Chicago, Illinois and active in the NPI registry since December 2009. The organization lists Sam Park, Partner, as its authorized official.

NPPES Registry Identity

NPI1891025540
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameBRIDGEPORT DENTAL SPECIALISTS, LLC
Location Address2959 S WALLACE STChicago, IL 60616
Mailing Address2959 S Wallace StChicago, IL 60616
Phone(312) 326-5437
Organization SubpartNo
Authorized OfficialSam ParkPartner · (312) 326-5437
Enumeration DateDecember 31, 2009
✔ NPI 1891025540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019025818
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
2959 S WALLACE ST, Chicago, IL 60616
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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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

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

RAMI MIKATI
Dentist (Pediatric Dentistry)
2959 S WALLACE ST
CHICAGO, IL 60616
Cook County (312) 326-5437
DR. SAM PARK D.D.S.
Dentist (Pediatric Dentistry)
2959 S WALLACE ST, CHILDREN'S DENTAL WORLD
CHICAGO, IL 60616
Cook County (312) 326-5437
CHILDREN'S DENTAL WORLD, LLC
Dentist (Pediatric Dentistry)
2959 S WALLACE ST
CHICAGO, IL 60616
Cook County (312) 326-5437
VONGLUEKIAT & CHOI LLC
Dentist (General Practice)
2959 S WALLACE ST
CHICAGO, IL 60616
Cook County (312) 791-0920
DR. LEE J. CRISANTI D.D.S.
Dentist
2959 S WALLACE ST
CHICAGO, IL 60616
Cook County (312) 791-0920
DR. STEVEN VONGLUEKIAT DDS
Dentist
2959 S WALLACE ST
CHICAGO, IL 60616
Cook County (312) 791-0920
BRIDGEPORT DENTAL SPECIALISTS LLC
Dentist (Orthodontics and Dentofacial Orthopedics)
2959 S WALLACE ST
CHICAGO, IL 60616
Cook County (312) 791-0920

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 Bridgeport Dental Specialists, LLC's NPI number?

The NPI number for Bridgeport Dental Specialists, LLC is 1891025540. It was assigned to this organization in the NPPES registry on December 31, 2009.

Where is Bridgeport Dental Specialists, LLC located?

Bridgeport Dental Specialists, LLC is located at 2959 S Wallace St, Chicago, IL 60616. The listed phone number is (312) 326-5437.

What is Bridgeport Dental Specialists, LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Bridgeport Dental Specialists, LLC was last updated on December 31, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.