OrganizationActive
Clark Dental Office Ltd
NPI 1316119993 · General Practice Dentistry · Chicago, IL
Clark Dental Office Ltd is a General Practice Dentistry organization in Chicago, IL (NPI 1316119993).
Provider details
- NPI number
- 1316119993
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Reza Kmoshnood, President Dentist(773) 761-2020
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
18 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
6210 N Clark St
Chicago, IL 60660
Phone: (773) 761-2020
Fax: (773) 761-2072
Street-level locationGet directions
Mailing address
6210 N Clark St
Chicago, IL 60660
Registry dates
- Enumerated
- 2008-03-24
- Last updated
- 2008-03-24
Frequently asked questions
- What is Clark Dental Office Ltd's NPI number?
- Clark Dental Office Ltd's National Provider Identifier (NPI) is 1316119993, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clark Dental Office Ltd?
- Clark Dental Office Ltd is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Clark Dental Office Ltd located?
- Clark Dental Office Ltd's practice location on file with NPPES is 6210 N Clark St, Chicago, IL 60660.
- What is Clark Dental Office Ltd's phone number?
- The practice phone number listed in the NPPES registry for Clark Dental Office Ltd is (773) 761-2020.
- Who is the authorized official for Clark Dental Office Ltd?
- The authorized official listed on Clark Dental Office Ltd's NPPES record is Reza Kmoshnood, President Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clark Dental Office Ltd's NPI active?
- Yes — Clark Dental Office Ltd's NPI (1316119993) is active in the NPPES registry as of the last update on 2008-03-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.