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

David Joel Reisberg, DDS

Individual provider Prosthodontics · NPI 1952485096

David Joel Reisberg, DDS is a Maxillofacial Surgery in Chicago, Illinois. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 1977, 49 years ago. Practices with The Board of Trustees of the University of Illinois, a 1,142-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
49
Trained at
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in
IL
In the registry since
2006
Specialties on file
2
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

811 S Paulina St Mc 588
Chicago, IL 60612-4305
Phone: (312) 996-6933
Fax: (312) 355-4173
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Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence 019-017383 (IL)
Prosthodontics Taxonomy 1223P0700X · Licence 019017383 (IL)

Record details

NPI number1952485096
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 25, 2006
Last updated in NPPESDecember 9, 2019
Certification dateDecember 9, 2019
Mailing address811 S. Paulina St., Mc 588, Chicago, IL 60612-4305

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Medical schoolCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated 1977 (49 years in practice)
Group practice The Board Of Trustees Of The University Of Illinois — 1142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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