VIVA SMILE DENTAL PLLC
NPI 1942090329
Clinic/Center - Dental in Chicago, IL

Active since May 09, 2025
1504 N WESTERN AVE, CHICAGO, IL 60622(708) 971-3321 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Viva Smile Dental Pllc NPPES

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

VIVA SMILE DENTAL PLLC (NPI 1942090329) is a healthcare organization registered as a dental in Chicago, Illinois and active in the NPI registry since May 2025. The organization lists Omar Moukaddem, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1942090329
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameVIVA SMILE DENTAL PLLC
Location Address1504 N WESTERN AVEChicago, IL 60622-6614
Mailing Address3939 W Fullerton AveChicago, IL 60647-2243 · (708) 971-3321
Organization SubpartNo
Authorized OfficialOmar MoukaddemManaging Partner · (708) 971-3321
Enumeration DateMay 9, 2025
NPPES CertifiedMay 9, 2025
NPI 1942090329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1504 N WESTERN AVE, Chicago, IL 60622

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
1504 N WESTERN AVE
CHICAGO, IL 60622
Dentist (General Practice)
1504 N WESTERN AVE
CHICAGO, IL 60622

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 Viva Smile Dental PLLC's NPI number?

The NPI number for Viva Smile Dental PLLC is 1942090329. It was assigned to this organization in the NPPES registry on May 9, 2025.

Where is Viva Smile Dental PLLC located?

Viva Smile Dental PLLC is located at 1504 N Western Ave, Chicago, IL 60622. The listed phone number is (708) 971-3321.

What is Viva Smile Dental PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Viva Smile Dental PLLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Viva Smile Dental PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Viva Smile Dental PLLC was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.