OrganizationActive
Minty Dental Boutique
NPI 1457187775 · Dental Clinic/Center · Chicago, IL
Minty Dental Boutique is a Dental Clinic/Center organization in Chicago, IL (NPI 1457187775).
Provider details
- NPI number
- 1457187775
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tamara Marjan, Owner(936) 239-0753
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
4200 W Peterson Ave Ste 136
Chicago, IL 60646-6052
Phone: (773) 286-5286
Fax: (773) 286-5331
Street-level locationGet directions
Mailing address
4200 W Peterson Ave Ste 136
Chicago, IL 60646-6052
Registry dates
- Enumerated
- 2024-09-12
- Last updated
- 2024-09-12
- Certified
- 2024-09-12
Frequently asked questions
- What is Minty Dental Boutique's NPI number?
- Minty Dental Boutique's National Provider Identifier (NPI) is 1457187775, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Minty Dental Boutique?
- Minty Dental Boutique is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Minty Dental Boutique located?
- Minty Dental Boutique's practice location on file with NPPES is 4200 W Peterson Ave Ste 136, Chicago, IL 60646-6052.
- What is Minty Dental Boutique's phone number?
- The practice phone number listed in the NPPES registry for Minty Dental Boutique is (773) 286-5286.
- Who is the authorized official for Minty Dental Boutique?
- The authorized official listed on Minty Dental Boutique's NPPES record is Tamara Marjan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Minty Dental Boutique's NPI active?
- Yes — Minty Dental Boutique's NPI (1457187775) is active in the NPPES registry as of the last update on 2024-09-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.