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

Kedzie Dentistry LLC

Organization Dentist · NPI 1871455832

Kedzie Dentistry LLC is a Dentist in Chicago, Illinois. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
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

5430 S Kedzie Ave
Chicago, IL 60632-2620
Phone: (773) 295-2523
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Dentist Taxonomy 122300000X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1871455832
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Prasanth Dommaraju — Director · (630) 247-7216
NPI enumeratedNovember 28, 2025
Last updated in NPPESNovember 28, 2025
Certification dateNovember 28, 2025
Mailing address5430 S Kedzie Ave, Chicago, IL 60632-2620

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