MADISON PINE DENTAL
NPI 1942322664
Dentist - General Practice in Chicago, IL

Active since April 04, 2007
5470 W MADISON ST, CHICAGO, IL 60644(773) 287-3939(773) 287-2573 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madison Pine Dental NPPES

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

MADISON PINE DENTAL (NPI 1942322664) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since April 2007. The organization lists James Poulos, Dentist, as its authorized official.

NPPES Registry Identity

NPI1942322664
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMADISON PINE DENTAL
Location Address5470 W MADISON STChicago, IL 60644-4031
Mailing Address5470 W Madison StChicago, IL 60644-4031 · (773) 287-3939 · Fax (773) 287-2573
Fax(773) 287-2573
Organization SubpartNo
Authorized OfficialJames PoulosDentist · (773) 287-3939
Enumeration DateApril 4, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1942322664 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.
5470 W MADISON ST, Chicago, IL 60644

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 11

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

Dentist (Orthodontics and Dentofacial Orthopedics)
5470 W MADISON ST
CHICAGO, IL 60644
Clinic/Center (Oral and Maxillofacial Surgery)
5470 W MADISON ST
CHICAGO, IL 60644
Internal Medicine
5470 W MADISON ST
CHICAGO, IL 60644
Dentist
5470 W MADISON ST
CHICAGO, IL 60644
Family Medicine
5470 W MADISON ST
CHICAGO, IL 60644
Dentist
5470 W MADISON ST
CHICAGO, IL 60644
Dentist
5470 W MADISON ST
CHICAGO, IL 60644
Pharmacy (Community/Retail Pharmacy)
5470 W MADISON ST
CHICAGO, IL 60644

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 Madison Pine Dental's NPI number?

The NPI number for Madison Pine Dental is 1942322664. It was assigned to this organization in the NPPES registry on April 4, 2007.

Where is Madison Pine Dental located?

Madison Pine Dental is located at 5470 W Madison St, Chicago, IL 60644. The listed phone number is (773) 287-3939.

What is Madison Pine Dental'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 Madison Pine Dental was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.