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DENTAL DIAGNOSTIC IMAGING
NPI 1942653738
Dentist - Oral and Maxillofacial Radiology in Chicago, IL

Active since July 18, 2016
1201 S PRAIRIE AVE, 4901, CHICAGO, IL 60605(312) 966-6307 Get Directions Write a Review

NPPES record last updated: July 18, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dental Diagnostic Imaging NPPES

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

DENTAL DIAGNOSTIC IMAGING (NPI 1942653738) is a healthcare organization registered as an oral and maxillofacial radiology in Chicago, Illinois and active in the NPI registry since July 2016. The organization lists Mitra Sadrameli, President, as its authorized official.

NPPES Registry Identity

NPI1942653738
Entity TypeOrganization
Primary Taxonomy1223X0008X
Legal Business NameDENTAL DIAGNOSTIC IMAGING
Location Address1201 S PRAIRIE AVE, 4901Chicago, IL 60605-3325
Mailing Address1201 S Prairie Ave, 4901Chicago, IL 60605-3325 · (312) 966-6307
Phone(312) 966-6307
Organization SubpartNo
Authorized OfficialMitra SadrameliPresident · (312) 966-6307
Enumeration DateJuly 18, 2016
✔ NPI 1942653738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial RadiologyDental Providers
Taxonomy Code1223X0008X
License✔ Licensed in IL · 019.030434
Definition
The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region.
1201 S PRAIRIE AVE, Chicago, IL 60605
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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

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 Dental Diagnostic Imaging's NPI number?

The NPI number for Dental Diagnostic Imaging is 1942653738. It was assigned to this organization in the NPPES registry on July 18, 2016.

Where is Dental Diagnostic Imaging located?

Dental Diagnostic Imaging is located at 1201 S Prairie Ave 4901, Chicago, IL 60605. The listed phone number is (312) 966-6307.

What is Dental Diagnostic Imaging's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Radiology, with taxonomy code 1223X0008X.

When was this NPI record last updated?

The NPPES record for Dental Diagnostic Imaging was last updated on July 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.