OrganizationActive
Old Town Dental Care, P.C.
NPI 1265677314 · Dentist · Chicago, IL
Old Town Dental Care, P.C. is a Dentist organization in Chicago, IL (NPI 1265677314).
Provider details
- NPI number
- 1265677314
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Sam Tahbaz, President(312) 573-0007
- License
- 019024892 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
1504 N Wells St
Chicago, IL 60610-1308
Phone: (312) 573-0007
Fax: (312) 573-0002
Street-level locationGet directions
Mailing address
1504 N Wells St
Chicago, IL 60610-1308
Other names (DBA / former)
- Former legal business name
- Lakeview Dental Care, P.C.
Registry dates
- Enumerated
- 2008-12-03
- Last updated
- 2008-12-03
Frequently asked questions
- What is Old Town Dental Care, P.C.'s NPI number?
- Old Town Dental Care, P.C.'s National Provider Identifier (NPI) is 1265677314, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Old Town Dental Care, P.C.?
- Old Town Dental Care, P.C. is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Old Town Dental Care, P.C. located?
- Old Town Dental Care, P.C.'s practice location on file with NPPES is 1504 N Wells St, Chicago, IL 60610-1308.
- What is Old Town Dental Care, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Old Town Dental Care, P.C. is (312) 573-0007.
- Who is the authorized official for Old Town Dental Care, P.C.?
- The authorized official listed on Old Town Dental Care, P.C.'s NPPES record is Sam Tahbaz, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Old Town Dental Care, P.C.'s NPI active?
- Yes — Old Town Dental Care, P.C.'s NPI (1265677314) is active in the NPPES registry as of the last update on 2008-12-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.