BRIDGEPORT DENTAL SPECIALISTS, LLC
NPI 1891025540
Dentist in Chicago, IL
NPI Status: Active since December 31, 2009
Contact Information
2959 S WALLACE ST
CHICAGO, IL
ZIP 60616
Phone: (312) 326-5437
- Organization
- Dentist
About BRIDGEPORT DENTAL SPECIALISTS, LLC
This page provides the complete NPI Profile along with additional information for Bridgeport Dental Specialists, Llc, a provider established in Chicago, Illinois operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1891025540 assigned on December 2009. The practitioner's primary taxonomy code is 122300000X with license number 019025818 (IL). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Sam Park Dds (Partner)
- NPI
- 1891025540
- Provider Name
- BRIDGEPORT DENTAL SPECIALISTS, LLC
- Entity Type
- Organization
- Location Address
- 2959 S WALLACE ST CHICAGO, IL 60616
- Location Phone
- (312) 326-5437
- Mailing Address
- 2959 S WALLACE ST CHICAGO, IL 60616
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-31-2009
- Last Update Date
- 12-31-2009
- Code Navigator
A dentist like Bridgeport Dental Specialists, Llc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist
- Taxonomy Code
- 122300000X
- Type
- Dental Providers
- License No.
- 019025818
- License State
- IL
- Taxonomy Description
- A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 9 | 1 | 0 | 2 | 5 | 5 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 18 | 1 | 0 | 2 | 10 | 5 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 1 + 8 + 1 + 0 + 2 + 1 + 0 + 5 + 8 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1891025540 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1689845067 | DR. LEE J. CRISANTI D.D.S. Individual | Dentist | 2959 S WALLACE ST CHICAGO, IL 60616 (312) 791-0920 |
| 1477883122 | CHILDREN'S DENTAL WORLD, LLC Organization | Dentist (Pediatric Dentistry) | 2959 S WALLACE ST CHICAGO, IL 60616 (312) 326-5437 |
| 1578886214 | VONGLUEKIAT & CHOI LLC Organization | Dentist (General Practice) | 2959 S WALLACE ST CHICAGO, IL 60616 (312) 791-0920 |
| 1932416898 | BRIDGEPORT DENTAL SPECIALISTS LLC Organization | Dentist (Orthodontics and Dentofacial Orthopedics) | 2959 S WALLACE ST CHICAGO, IL 60616 (312) 791-0920 |
| 1902001613 | DR. STEVEN VONGLUEKIAT DDS Individual | Dentist | 2959 S WALLACE ST CHICAGO, IL 60616 (312) 791-0920 |
| 1285096867 | RAMI MIKATI Individual | Dentist (Pediatric Dentistry) | 2959 S WALLACE ST CHICAGO, IL 60616 (312) 326-5437 |
| 1295871267 | DR. SAM PARK D.D.S. Individual | Dentist (Pediatric Dentistry) | 2959 S WALLACE ST CHILDREN'S DENTAL WORLD CHICAGO, IL 60616 (312) 326-5437 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891025540, enumerated in the NPI registry as an "organization" on December 31, 2009
The provider is located at 2959 S Wallace St Chicago, Il 60616 and the phone number is (312) 326-5437
This medical organization specializes in Dentist with taxonomy code 122300000X
This NPI record was last updated on December 31, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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