OrganizationActive
Pediatric Dental Surgical Associates PLLC
NPI 1013480755 · Pediatric Dentistry · Chicago, IL
Pediatric Dental Surgical Associates PLLC is a Pediatric Dentistry organization in Chicago, IL (NPI 1013480755).
Provider details
- NPI number
- 1013480755
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Johnny Kuttab, Ceo(773) 423-6050
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2550 W Addison St
Chicago, IL 60618-5952
Phone: (773) 423-6050
Street-level locationGet directions
Mailing address
2550 W Addison St
Chicago, IL 60618-5952
Registry dates
- Enumerated
- 2019-01-04
- Last updated
- 2019-01-04
Frequently asked questions
- What is Pediatric Dental Surgical Associates PLLC's NPI number?
- Pediatric Dental Surgical Associates PLLC's National Provider Identifier (NPI) is 1013480755, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Dental Surgical Associates PLLC?
- Pediatric Dental Surgical Associates PLLC is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Pediatric Dental Surgical Associates PLLC located?
- Pediatric Dental Surgical Associates PLLC's practice location on file with NPPES is 2550 W Addison St, Chicago, IL 60618-5952.
- What is Pediatric Dental Surgical Associates PLLC's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Dental Surgical Associates PLLC is (773) 423-6050.
- Who is the authorized official for Pediatric Dental Surgical Associates PLLC?
- The authorized official listed on Pediatric Dental Surgical Associates PLLC's NPPES record is Johnny Kuttab, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Dental Surgical Associates PLLC's NPI active?
- Yes — Pediatric Dental Surgical Associates PLLC's NPI (1013480755) is active in the NPPES registry as of the last update on 2019-01-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.