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

Individual provider Dentist · NPI 1598053837

Dr. Siddharth Bansal, DMD is a Dentist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

6636 S Pulaski Rd
Chicago, IL 60629-5138
Phone: (352) 872-8066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019028736 (IL)

Record details

NPI number1598053837
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 20, 2011
Last updated in NPPESJuly 20, 2011
Mailing address6636 South Pulaski, Chicago, IL 60629

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