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

Chicago Pediatric Dentistry and Orthodontics PLLC

Organization Pediatric Dentistry · NPI 1124629514

Chicago Pediatric Dentistry and Orthodontics PLLC is a Pediatric Dentistry in Chicago, Illinois. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1136 S Delano Ct W Ste B202
Chicago, IL 60605-3734
Phone: (312) 766-0995
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X
Dental Clinic/Center Taxonomy 261QD0000X

Record details

NPI number1124629514
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Welke — Owner · (630) 886-1780
Other names Chicago Pediatric Dentistry And Orthodontics
NPI enumeratedNovember 3, 2020
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026
Mailing address1136 S Delano Ct W Ste B202, Chicago, IL 60605-3734

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