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EDGEBROOK DENTAL ASSOCIATES
NPI 1992046205
Dentist - General Practice in Chicago, IL

Active since March 12, 2013
5131 W DEVON AVE, CHICAGO, IL 60646(773) 631-8717(773) 631-7781 Get Directions Write a Review

NPPES record last updated: March 12, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edgebrook Dental Associates NPPES

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

EDGEBROOK DENTAL ASSOCIATES (NPI 1992046205) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since March 2013. The organization lists Sam Dauahera, Owner, as its authorized official.

NPPES Registry Identity

NPI1992046205
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSAM DAUAHERA DDS PC
Location Address5131 W DEVON AVEChicago, IL 60646-4217
Mailing Address5131 W Devon AveChicago, IL 60646-4217 · (773) 631-8717 · Fax (773) 631-7781
Phone(773) 631-8717
Fax(773) 631-7781
Organization SubpartNo
Authorized OfficialSam DauaheraOwner · (773) 456-5659
Enumeration DateMarch 12, 2013
✔ NPI 1992046205 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019027577
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.
5131 W DEVON AVE, Chicago, IL 60646
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Other Names 1

Doing Business AsEdgebrook Dental Associates

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 3

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

DR. REINHOLD FISCHER DDS
Dentist (General Practice)
5131 W DEVON AVE
CHICAGO, IL 60646
Cook County (773) 631-8717
MARTIN LAPIDUS, D.D.S.
Dentist (General Practice)
5131 W DEVON AVE
CHICAGO, IL 60646
Cook County (773) 631-8717
DR. MARTIN LAPIDUS D.D.S.
Dentist (General Practice)
5131 W DEVON AVE
CHICAGO, IL 60646
Cook County (773) 631-8717

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 Sam Dauahera Dds PC's NPI number?

The NPI number for Sam Dauahera Dds PC is 1992046205. It was assigned to this organization in the NPPES registry on March 12, 2013. The provider is doing business as Edgebrook Dental Associates.

Where is Sam Dauahera Dds PC located?

Sam Dauahera Dds PC is located at 5131 W Devon Ave, Chicago, IL 60646. The listed phone number is (773) 631-8717.

What is Sam Dauahera Dds PC'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 Sam Dauahera Dds PC was last updated on March 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.