IMPLANT DENTAL ARTS NPI 1265764419

NPI Information

  • NPI: 1265764419
  • Provider Name: IMPLANT DENTAL ARTS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: CHICAGO SMILE DESIGN
  • Address: 437 W NORTH AVE
    CHICAGO, IL
    ZIP 60610
  • Phone: (312) 664-2100

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NPI Details

IMPLANT DENTAL ARTS is a general practice dentist in Chicago, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. IMPLANT DENTAL ARTS NPI is 1265764419. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Chicago Smile Design.

The provider's business location address is:

437 W NORTH AVE
CHICAGO, IL
ZIP 60610-420
Phone: (312) 664-2100

The provider's authorized official is Peter Michael Tomaselli .
The authorized official title is Practice Owner and has the following contact phone number (312) 664-2100.

The enumeration date for this NPI number is 2/12/2010 and was last updated on 2/12/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice019027304ILLINOISNo
21223G0001XDentistGeneral PracticeBT 0632403ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11497811236MEDICARE PINILLINOIS
21336345974MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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