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NPI 1417223470

OrganizationActive

A-Denta Care Specialist PC

NPI 1417223470 · Periodontics · Chicago, IL

Provider details

NPI number: 1417223470
Entity type: Organization
Primary specialty: PeriodonticsDental Providers
Authorized official: John Dimoulis, Owner
License: 021002414 (IL)

Practice location

5780 N Lincoln Ave

Chicago, IL 60659-4721

Phone: (773) 769-1754

Fax: (773) 769-1370

More IL providers

Mailing address

5780 N Lincoln Ave

Chicago, IL 60659-4721

Registry dates

Enumerated: 2012-03-23
Last updated: 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.

A-Denta Care Specialist PC — NPI 1417223470, Chicago, IL | NPI Central