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

Old Town Dental Care, PC

Organization Dentist · NPI 1265677314

Old Town Dental Care, PC is a Dentist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
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

1504 N Wells St
Chicago, IL 60610-1308
Phone: (312) 573-0007
Fax: (312) 573-0002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019024892 (IL)

Record details

NPI number1265677314
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sam Tahbaz — President · (312) 573-0007
Other names Lakeview Dental Care, P.C.
NPI enumeratedDecember 3, 2008
Last updated in NPPESDecember 3, 2008
Mailing address1504 N Wells St, Chicago, IL 60610-1308

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