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

Mt Greenwood Dental Clinic

Organization Dentist · NPI 1558637926

Mt Greenwood Dental Clinic is a Dentist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012

Practice location Address checks out

3135 W 111th St
Chicago, IL 60655-2223
Phone: (773) 238-4451
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019016104 (IL)

Record details

NPI number1558637926
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Brocker — Owner · (773) 238-4451
NPI enumeratedMarch 29, 2012
Last updated in NPPESMarch 29, 2012
Mailing address3135 W 111th St, Chicago, IL 60655-2223

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