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

Drew Tyler Gripentrog, DMD

Individual provider Dentist · NPI 1154684140

Drew Tyler Gripentrog, DMD is a Dentist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
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

811 W Wellington Ave
Chicago, IL 60657-5123
Phone: (773) 871-6138
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019029019 (IL)

Record details

NPI number1154684140
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 24, 2012
Last updated in NPPESJune 24, 2012
Mailing address811 W Wellington Ave, Chicago, IL 60657-5123

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