BRIDGEPORT DENTAL SPECIALISTS LLC
NPI 1932416898
Dentist - Orthodontics and Dentofacial Orthopedics in Chicago, IL

Active since September 13, 2010
2959 S WALLACE ST, CHICAGO, IL 60616(312) 791-0920(312) 842-5338 Get Directions Write a Review

NPPES record last updated: September 13, 2010. Verified against the NPPES registry weekly; last sync: July 26, 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 1932416898) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Chicago, Illinois and active in the NPI registry since September 2010. The organization lists Steven Vongluekiat, Owner, as its authorized official.

NPPES Registry Identity

NPI1932416898
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameBRIDGEPORT DENTAL SPECIALISTS LLC
Location Address2959 S WALLACE STChicago, IL 60616-3034
Mailing Address2959 S Wallace StChicago, IL 60616-3034 · (312) 791-0920 · Fax (312) 842-5338
Fax(312) 842-5338
Organization SubpartNo
Authorized OfficialSteven VongluekiatOwner · (312) 791-0920
Enumeration DateSeptember 13, 2010
NPI 1932416898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in IL · 019027652
Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

2959 S WALLACE ST, Chicago, IL 60616

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 7

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

Dentist (Pediatric Dentistry)
2959 S WALLACE ST
CHICAGO, IL 60616
Dentist (Pediatric Dentistry)
2959 S WALLACE ST, CHILDREN'S DENTAL WORLD
CHICAGO, IL 60616
Dentist (Pediatric Dentistry)
2959 S WALLACE ST
CHICAGO, IL 60616
Dentist (General Practice)
2959 S WALLACE ST
CHICAGO, IL 60616
Dentist
2959 S WALLACE ST
CHICAGO, IL 60616
Dentist
2959 S WALLACE ST
CHICAGO, IL 60616
Dentist
2959 S WALLACE ST
CHICAGO, IL 60616

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 1932416898. It was assigned to this organization in the NPPES registry on September 13, 2010.

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) 791-0920.

What is Bridgeport Dental Specialists LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Bridgeport Dental Specialists LLC was last updated on September 13, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.