NPIMap

Organization Active NPI

WS Dental Chicago, PLLC

Doing business as Grace Dental

  • Dentist
  • Chicago, IL
National Provider Identifier
1205629433
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WS DENTAL CHICAGO, PLLC
Doing business as
Grace Dental
Practice address
4224 W Lawrence Ave
Chicago, IL 60630-2729
Phone
(773) 545-2881
NPI assigned
May 28, 2025
Last updated
Sep 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Won Sung, DDSNPI 1154556462
Title
President
Phone
(213) 249-1765

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

4224 W Lawrence Ave
Chicago, IL 60630-2729

Mailing address

2624 Charlestowne LN
Naperville, IL 60564-4780
Phone (213) 249-1765

Other names 1

  • Grace Dental Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1205629433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2624 CHARLESTOWNE LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605644780",
            "telephone_number": "213-249-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4224 W LAWRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302729",
            "telephone_number": "773-545-2881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WS DENTAL CHICAGO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "SUNG",
        "authorized_official_first_name": "WON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-249-1765",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grace Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Grace Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.