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

Midway Family Dental, LLC

Organization Dentist · NPI 1730747338

Midway Family Dental, LLC is a Dentist in Chicago, Illinois. Registered with an NPI since 2019.

In the registry since
2019
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

6258 S Pulaski Rd
Chicago, IL 60629-4610
Phone: (773) 777-6363
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1730747338
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ghazal Kermani — Manager/Owner · (949) 701-5320
Other names 63 Family Dental
NPI enumeratedMay 30, 2019
Last updated in NPPESMay 30, 2019
Mailing address6258 S Pulaski Rd, Chicago, IL 60629-4610

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