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

Old Orchard Dental Group PC

Organization Preferred Provider Organization · NPI 1578886206

Old Orchard Dental Group PC is a Preferred Provider Organization in Skokie, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9631 Gross Point Rd Ste 4
Skokie, IL 60076-1264
Phone: (312) 402-7414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X (IL)

Record details

NPI number1578886206
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Atosa Sarrafi — President · (312) 402-7414
NPI enumeratedMarch 9, 2010
Last updated in NPPESMarch 9, 2010
Mailing address9631 Gross Point Rd, Suite 4, Skokie, IL 60076-1264

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