Avila Dental PC
Organization Active NPI General Practice Dentistry · Chicago, IL
NPI 1235595331 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1235595331
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- AVILA DENTAL PC
- Practice address
- 6144 S Pulaski Rd
Chicago, IL 60629-4628 - Phone
- (773) 585-8000
- Fax
- (773) 585-8001
- NPI assigned
- Jan 6, 2016
- Organization subpart
- Yes
- Parent organization (as reported)
- BERWYN DENTAL GROUP
Authorized official
- Name
- Dr. Victoriano Avila, DDS
- Title
- Dentist
- Phone
- (312) 404-4041
Parent organization (reported in NPPES) 1
National Provider Directory
- Part of
- Berwyn Dental Group
Locations
6144 S Pulaski Rd
Chicago, IL 60629
Phone (773) 585-8000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | IL | Yes |
Addresses
Primary practice location
6144 S Pulaski Rd
Chicago, IL 60629-4628
Mailing address
6144 S Pulaski Rd
Chicago, IL 60629-4628
Phone (773) 585-8000
Other providers in Chicago, IL
- Christina Avgerinos-Gonzalez
- Harris Avgousti
- Avi Rudnick LCSW LLC
- Avi Vodnoy Wolf, LLC
- Avid Intimacy, LLC
- Ana Maria Avila Rodriguez
- Mary Ann Avila-Cantore
- Karla Johan Avila-Polanco
- Christopher Avila
- Hector David Avila
All providers in Chicago, IL · General Practice 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 Jul 21, 2022. 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.