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

Old Orchard Periodontics & Implant Dentistry Ltd

Organization Periodontics · NPI 1821139171

Old Orchard Periodontics & Implant Dentistry Ltd is a Periodontics in Skokie, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4905 Old Orchard Shopping Ctr Ste 310
Skokie, IL 60077-1425
Phone: (847) 982-0640
Fax: (847) 982-0644
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 021001143 (IL)

Record details

NPI number1821139171
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Barack — Owner · (847) 982-0640
NPI enumeratedFebruary 9, 2007
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026
Mailing address4905 Old Orchard Ctr Ste 310, Skokie, IL 60077-4740

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