OrganizationActive
Demp Fern Mg Dental Corp.
NPI 1649602632 · Dental Clinic/Center · Morton Grove, IL
Demp Fern Mg Dental Corp. is a Dental Clinic/Center organization in Morton Grove, IL (NPI 1649602632).
Provider details
- NPI number
- 1649602632
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- James Kanellos, Owner/Dentist(312) 391-7529
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
6223 Dempster St
Morton Grove, IL 60053-2818
Phone: (847) 966-8000
Fax: (847) 832-1687
Street-level locationGet directions
Mailing address
1112 Indian Rd
Glenview, IL 60025-3225
Other names (DBA / former)
- Other name
- James P Kanellos DDS
Registry dates
- Enumerated
- 2013-08-01
- Last updated
- 2013-08-01
Frequently asked questions
- What is Demp Fern Mg Dental Corp.'s NPI number?
- Demp Fern Mg Dental Corp.'s National Provider Identifier (NPI) is 1649602632, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Demp Fern Mg Dental Corp.?
- Demp Fern Mg Dental Corp. is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Demp Fern Mg Dental Corp. located?
- Demp Fern Mg Dental Corp.'s practice location on file with NPPES is 6223 Dempster St, Morton Grove, IL 60053-2818.
- What is Demp Fern Mg Dental Corp.'s phone number?
- The practice phone number listed in the NPPES registry for Demp Fern Mg Dental Corp. is (847) 966-8000.
- Who is the authorized official for Demp Fern Mg Dental Corp.?
- The authorized official listed on Demp Fern Mg Dental Corp.'s NPPES record is James Kanellos, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Demp Fern Mg Dental Corp.'s NPI active?
- Yes — Demp Fern Mg Dental Corp.'s NPI (1649602632) is active in the NPPES registry as of the last update on 2013-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.