OrganizationActive
A-Denta Care Specialist PC
NPI 1417223470 · Periodontics · Chicago, IL
A-Denta Care Specialist PC is a Periodontics organization in Chicago, IL (NPI 1417223470).
Provider details
- NPI number
- 1417223470
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- John Dimoulis, Owner(773) 769-1754
- License
- 021002414 (IL)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
5780 N Lincoln Ave
Chicago, IL 60659-4721
Phone: (773) 769-1754
Fax: (773) 769-1370
Street-level locationGet directions
Mailing address
5780 N Lincoln Ave
Chicago, IL 60659-4721
Registry dates
- Enumerated
- 2012-03-23
- Last updated
- 2012-03-23
Frequently asked questions
- What is A-Denta Care Specialist PC's NPI number?
- A-Denta Care Specialist PC's National Provider Identifier (NPI) is 1417223470, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is A-Denta Care Specialist PC?
- A-Denta Care Specialist PC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is A-Denta Care Specialist PC located?
- A-Denta Care Specialist PC's practice location on file with NPPES is 5780 N Lincoln Ave, Chicago, IL 60659-4721.
- What is A-Denta Care Specialist PC's phone number?
- The practice phone number listed in the NPPES registry for A-Denta Care Specialist PC is (773) 769-1754.
- Who is the authorized official for A-Denta Care Specialist PC?
- The authorized official listed on A-Denta Care Specialist PC's NPPES record is John Dimoulis, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is A-Denta Care Specialist PC's NPI active?
- Yes — A-Denta Care Specialist PC's NPI (1417223470) is active in the NPPES registry as of the last update on 2012-03-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.