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

Bridgeport Dental Specialists LLC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1932416898

Bridgeport Dental Specialists LLC is an Orthodontics and Dentofacial Orthopedics Dentistry in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010
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 60616-3034
Phone: (312) 791-0920
Fax: (312) 842-5338
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 019027652 (IL)

Record details

NPI number1932416898
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Steven Vongluekiat — Owner · (312) 791-0920
NPI enumeratedSeptember 13, 2010
Last updated in NPPESSeptember 13, 2010
Mailing address2959 S Wallace St, Chicago, IL 60616-3034

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