OrganizationActive
Old Town Dental Center
NPI 1659696995 · Dental Clinic/Center · Chicago, IL
Old Town Dental Center is a Dental Clinic/Center organization in Chicago, IL (NPI 1659696995).
Provider details
- NPI number
- 1659696995
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Vlad Ferdkoff, President(312) 751-1113
- License
- 019024754 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
333 W North Ave
Chicago, IL 60610-1293
Phone: (312) 751-1113
Street-level locationGet directions
Mailing address
333 W North Ave
Chicago, IL 60610-1293
Registry dates
- Enumerated
- 2010-03-30
- Last updated
- 2010-03-30
Frequently asked questions
- What is Old Town Dental Center's NPI number?
- Old Town Dental Center's National Provider Identifier (NPI) is 1659696995, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Old Town Dental Center?
- Old Town Dental Center is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Old Town Dental Center located?
- Old Town Dental Center's practice location on file with NPPES is 333 W North Ave, Chicago, IL 60610-1293.
- What is Old Town Dental Center's phone number?
- The practice phone number listed in the NPPES registry for Old Town Dental Center is (312) 751-1113.
- Who is the authorized official for Old Town Dental Center?
- The authorized official listed on Old Town Dental Center's NPPES record is Vlad Ferdkoff, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Old Town Dental Center's NPI active?
- Yes — Old Town Dental Center's NPI (1659696995) is active in the NPPES registry as of the last update on 2010-03-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.