Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Advance Dental Makeover PC

Organization Dentist · NPI 1609895754

Advance Dental Makeover PC is a Dentist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4707 N Pulaski Rd
Chicago, IL 60630-4312
Phone: (773) 604-5050
Fax: (773) 604-5030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X (IL)

Record details

NPI number1609895754
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wisam Mohammad — President · (773) 604-5050
NPI enumeratedJuly 19, 2006
Last updated in NPPESAugust 22, 2020
Mailing address4707 N Pulaski Rd, Chicago, IL 60630-4312

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