OrganizationActive
Bridgeport Dental Specialists, LLC
NPI 1891025540 · Dentist · Chicago, IL
Bridgeport Dental Specialists, LLC is a Dentist organization in Chicago, IL (NPI 1891025540).
Provider details
- NPI number
- 1891025540
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Sam Park, Partner(312) 326-5437
- License
- 019025818 (IL)
Specialties & taxonomies
Dental Providers
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
2959 S Wallace St
Chicago, IL 60616
Phone: (312) 326-5437
Street-level locationGet directions
Mailing address
2959 S Wallace St
Chicago, IL 60616
Registry dates
- Enumerated
- 2009-12-31
- Last updated
- 2009-12-31
Frequently asked questions
- What is Bridgeport Dental Specialists, LLC's NPI number?
- Bridgeport Dental Specialists, LLC's National Provider Identifier (NPI) is 1891025540, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bridgeport Dental Specialists, LLC?
- Bridgeport Dental Specialists, LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Bridgeport Dental Specialists, LLC located?
- Bridgeport Dental Specialists, LLC's practice location on file with NPPES is 2959 S Wallace St, Chicago, IL 60616.
- What is Bridgeport Dental Specialists, LLC's phone number?
- The practice phone number listed in the NPPES registry for Bridgeport Dental Specialists, LLC is (312) 326-5437.
- Who is the authorized official for Bridgeport Dental Specialists, LLC?
- The authorized official listed on Bridgeport Dental Specialists, LLC's NPPES record is Sam Park, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bridgeport Dental Specialists, LLC's NPI active?
- Yes — Bridgeport Dental Specialists, LLC's NPI (1891025540) is active in the NPPES registry as of the last update on 2009-12-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.