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

Bridgeport Dental Specialists, LLC

Organization Dentist · NPI 1891025540

Bridgeport Dental Specialists, LLC is a Dentist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2009.

Licensed in
IL
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2959 S Wallace St
Chicago, IL 60616
Phone: (312) 326-5437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019025818 (IL)

Record details

NPI number1891025540
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sam Park — Partner · (312) 326-5437
NPI enumeratedDecember 31, 2009
Last updated in NPPESDecember 31, 2009
Mailing address2959 S Wallace St, Chicago, IL 60616

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