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

Timothy Theobald DDS PLLC

Organization Dental Clinic/Center · NPI 1508701962

Timothy Theobald DDS PLLC is a Dental Clinic/Center in North Chicago, Illinois. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2127 Green Bay Rd
North Chicago, IL 60064-2801
Phone: (847) 336-8478
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1508701962
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Theobald — Owner · (847) 431-4318
NPI enumeratedApril 22, 2026
Last updated in NPPESApril 22, 2026
Certification dateApril 19, 2026
Mailing address2127 Green Bay Rd, North Chicago, IL 60064-2801