Christopher David Cortopassi, DMD, MS
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Montgomery, IL
NPI 1154088730 · NPPES record last updated Jan 20, 2025
Key facts
- NPI
- 1154088730
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 021.003344 (IL)
- Practice address
- 25 Boulder Hill Pass
Montgomery, IL 60538-1911 - Phone
- (630) 896-2779
- Fax
- (630) 896-9252
- NPI assigned
- Nov 18, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 021.003344 | IL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cortopassi Orthodontics PLLC | Orthodontics and Dentofacial Orthopedics | Current |
Accepting new patients |
| C. Neil Kay Orthodontics PC | Orthodontics and Dentofacial Orthopedics | Past |
Accepting new patients |
Locations
25 Boulder Hill Pass
Montgomery, IL 60538
Phone (630) 896-2779
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry |
1223X0400X | 021.003344 | IL | Yes |
Addresses
Primary practice location
25 Boulder Hill Pass
Montgomery, IL 60538-1911
Mailing address
25 Boulder Hill Pass
Montgomery, IL 60538-1911
Phone (630) 896-2779
Other providers in Montgomery, IL
- Victoria A Cimino
- Owen Matthew Clayton
- Lauren Cline
- Mark R Commean
- Cortopassi Orthodontics PLLC
- Dana Coventry
- Emily Crawl
- Criticare Ambulance Service Inc
- Hannah Cure
- Dabney Professional Group, LLC.
All providers in Montgomery, IL · Orthodontics and Dentofacial Orthopedics Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.