Modern Dental on Clark Street
NPI 1265962674 · General Practice Dentistry · Chicago, IL
Modern Dental on Clark Street is a General Practice Dentistry organization in Chicago, IL (NPI 1265962674).
Provider details
- NPI number
- 1265962674
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Phillip Palella, Owner(773) 489-5700
Specialties & taxonomies
Dental Providers
- Dental Clinic/Center261QD0000X
Ambulatory Health Care Facilities
- Preferred Provider Organization305R00000X
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
Mailing address
Registry dates
- Enumerated
- 2017-06-18
- Last updated
- 2017-06-18
Frequently asked questions
- What is Modern Dental on Clark Street's NPI number?
- Modern Dental on Clark Street's National Provider Identifier (NPI) is 1265962674, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modern Dental on Clark Street?
- Modern Dental on Clark Street is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Modern Dental on Clark Street located?
- Modern Dental on Clark Street's practice location on file with NPPES is 744 N Clark St, Chicago, IL 60654-2525.
- What is Modern Dental on Clark Street's phone number?
- The practice phone number listed in the NPPES registry for Modern Dental on Clark Street is (773) 489-5700.
- Who is the authorized official for Modern Dental on Clark Street?
- The authorized official listed on Modern Dental on Clark Street's NPPES record is Phillip Palella, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modern Dental on Clark Street's NPI active?
- Yes — Modern Dental on Clark Street's NPI (1265962674) is active in the NPPES registry as of the last update on 2017-06-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.