Periodontal Medicine and Surgical Specialists, LLC
NPI 1588703490 · Periodontics · Park Ridge, IL
Periodontal Medicine and Surgical Specialists, LLC is a Periodontics organization in Park Ridge, IL (NPI 1588703490).
Provider details
- NPI number
- 1588703490
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- George Mandelaris, Owner Periodontist(630) 627-3930
- License
- 019030200 (IL)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Other names (DBA / former)
- Former legal business name
- Periodontal Medicine and Surgical Specialists, Ltd
Registry dates
- Enumerated
- 2007-02-06
- Last updated
- 2016-12-29
Frequently asked questions
- What is Periodontal Medicine and Surgical Specialists, LLC's NPI number?
- Periodontal Medicine and Surgical Specialists, LLC's National Provider Identifier (NPI) is 1588703490, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Periodontal Medicine and Surgical Specialists, LLC?
- Periodontal Medicine and Surgical Specialists, LLC is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Periodontal Medicine and Surgical Specialists, LLC located?
- Periodontal Medicine and Surgical Specialists, LLC's practice location on file with NPPES is 1875 Dempster St, Park Ridge, IL 60068-1186.
- What is Periodontal Medicine and Surgical Specialists, LLC's phone number?
- The practice phone number listed in the NPPES registry for Periodontal Medicine and Surgical Specialists, LLC is (847) 698-1180.
- Who is the authorized official for Periodontal Medicine and Surgical Specialists, LLC?
- The authorized official listed on Periodontal Medicine and Surgical Specialists, LLC's NPPES record is George Mandelaris, Owner Periodontist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Periodontal Medicine and Surgical Specialists, LLC's NPI active?
- Yes — Periodontal Medicine and Surgical Specialists, LLC's NPI (1588703490) is active in the NPPES registry as of the last update on 2016-12-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.