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

Alex Garo Tanielian, DDS

Individual provider Dentist · NPI 1679981096

Alex Garo Tanielian, DDS is a Dentist in Chicago, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in California, Illinois and Washington.

Licensed in
CA, IL, WA
In the registry since
2014
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

111 W Jackson Blvd Ste 1410
Chicago, IL 60604-3867
Phone: (312) 939-2400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13033 Ne Bel Red Rd Ste 220, Bellevue, WA 98005-2633 — (425) 276-0737

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019032206 (IL)
Dentist Taxonomy 122300000X · Licence 61272179 (WA)
General Practice Dentistry Taxonomy 1223G0001X · Licence 63714 (CA)

Record details

NPI number1679981096
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 29, 2014
Last updated in NPPESJuly 6, 2022
Certification dateJuly 6, 2022
Mailing address111 W Jackson Blvd Ste 1410, Chicago, IL 60604-3867

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