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A-Denta Care Specialist PC

Periodontics in Chicago, IL · enumerated 2012 · authorized official John Dimoulis, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417223470

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Registry record

Entity type Organization (Type 2)
Legal business name A-Denta Care Specialist PC
Practice address 5780 N Lincoln Ave, Chicago, IL, 60659
Fax (773) 769-1370
Enumeration date Mar 23, 2012
Last updated in NPPES Mar 23, 2012

Taxonomy & classification

1223E0200X Endodontics Dental Providers · License 021002414 (IL) Secondary
1223E0200X Endodontics Dental Providers · License 021002411 (IL) Secondary
1223P0300X Periodontics Dental Providers · License 021001402 (IL) Primary

Authorized official

Name John Dimoulis
Title Owner

Other identifiers

Identifier Type State Issuer
1619133345 Other IL NPI DENTAL PROVIDER
136645657 Other IL NPI DENTAL PROVIDER
1962592865 Other IL DENTAL PROVIDER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is A-Denta Care Specialist PC located?
The practice location on file with NPPES is in Chicago, IL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-03-23. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-03-23.