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

Individual provider Dentist · NPI 1306455654

Tuan Phuong Cao, DDS is a Dentist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois and Louisiana.

Licensed in
IL, LA
In the registry since
2020
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

4641 W Diversey Ave
Chicago, IL 60639-1828
Phone: (773) 692-4147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019.033896 (IL)
Dentist Taxonomy 122300000X · Licence 7091 (LA)

Record details

NPI number1306455654
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 23, 2020
Last updated in NPPESSeptember 1, 2022
Certification dateSeptember 1, 2022
Mailing address4529 Saint Mary St, Metairie, LA 70006-2029

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