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

Griffin Orthodontics PC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1417384793

Griffin Orthodontics PC is an Orthodontics and Dentofacial Orthopedics Dentistry in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2013.

Licensed in
IL
In the registry since
2013
Specialties on file
2
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

1040 E 47th St
Chicago, IL 60653
Phone: (773) 239-7696
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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 019025726 (IL)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence 021002361 (IL)

Record details

NPI number1417384793
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIvory Dental Specialist LLC
Authorized official Bonciel Griffin — Orthodontist/Owner · (773) 239-7696
Other names Ivory Dental Specialist Llc
NPI enumeratedOctober 2, 2013
Last updated in NPPESOctober 2, 2013
Mailing address1040 E 47th St, Chicago, IL 60653-3600

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