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

Kedzie 47 Dental LLC

Organization General Practice Dentistry · NPI 1144839424

Kedzie 47 Dental LLC is a General Practice Dentistry in Chicago, Illinois. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
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

4721 S Kedzie Ave
Chicago, IL 60632-3001
Phone: (773) 847-4444
Fax: (630) 359-4933
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Dental Clinic/Center Taxonomy 261QD0000X

Record details

NPI number1144839424
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Muzaffar Mirza — President · (630) 501-0064
Other names Kedzie47 Dental; Kedzie47 Dental
NPI enumeratedJuly 23, 2020
Last updated in NPPESOctober 28, 2021
Certification dateOctober 28, 2021
Mailing address4721 S Kedzie Ave, Chicago, IL 60632-3001

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