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

Diversey Family Dental, PC

Organization Dentist · NPI 1952594020

Diversey Family Dental, PC is a Dentist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
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

4446 W Diversey
Chicago, IL 60639
Phone: (773) 725-7900
Fax: (773) 725-7900
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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 number1952594020
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ankit Shah — President · (773) 725-7900
NPI enumeratedAugust 22, 2007
Last updated in NPPESAugust 22, 2007
Mailing address4446 W. Diversey, Chicago, IL 60639

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