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

Kintsugi Group PLLC

Organization General Practice Dentistry · NPI 1477409829

Kintsugi Group PLLC is a General Practice Dentistry in Chicago, Illinois. Registered with an NPI since 2026.

In the registry since
2026
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

1879 N Milwaukee Ave Ste 1
Chicago, IL 60647-5689
Phone: (312) 429-6506
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1477409829
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Luis Peralta — Owner · (917) 742-4608
NPI enumeratedMarch 9, 2026
Last updated in NPPESMarch 9, 2026
Certification dateMarch 9, 2026
Mailing address1879 N Milwaukee Ave Ste 1, Chicago, IL 60647-5689

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