A WULFSOHN DMD PC NPI 1679140321

NPI Information

  • NPI: 1679140321
  • Provider Name: A WULFSOHN DMD PC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: LAKE VIEW DENTAL ASSOCIATES
  • CLIA Number: 14D2318040
  • Address: 1014 W BELMONT AVE
    CHICAGO, IL
    ZIP 60657
  • Phone: (773) 472-6322

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NPI Details

A WULFSOHN DMD PC is a dental clinic center in Chicago, IL. A WULFSOHN DMD PC NPI is 1679140321. The provider is registered as an organization entity type.
The provider Is Doing Business As Lake View Dental Associates.

The provider's business location address is:

1014 W BELMONT AVE
CHICAGO, IL
ZIP 60657-303
Phone: (773) 472-6322
Fax: (773) 472-6321

The provider's authorized official is Arielle Wulfsohn .
The authorized official title is Dentist and has the following contact phone number (773) 573-6052.

The CLIA number assigned to this NPI record is 14D2318040 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2021 and was last updated on 12/6/2022.

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
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2261QD0000XClinic/CenterDentalYes

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
11871945246OTHERILLINOISDENTIST

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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