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

Aita Koopahi

Individual provider General Practice Dentistry · NPI 1780090043

Aita Koopahi is a General Practice Dentistry in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2014
Specialties on file
2

Practice location Address checks out

4516 S Damen Ave
Chicago, IL 60609-3013
Phone: (773) 869-0200
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019029890 (IL)
General Practice Dentistry Taxonomy 1223G0001X · Licence 019029890 (IL)

Record details

NPI number1780090043
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 8, 2014
Last updated in NPPESJuly 8, 2014
Mailing address350 N Clark St Fl 6, Chicago, IL 60654-4712

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