NPIMap

Organization Active NPI

Dental Town LTD

  • General Practice Dentistry
  • Chicago, IL
National Provider Identifier
1275497802
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
DENTAL TOWN LTD
Practice address
3600 W Belmont Ave Ste 2
Chicago, IL 60618-8787
Phone
(773) 433-8300
NPI assigned
Dec 9, 2025
Organization subpart
Yes
Parent organization
DENTAL TOWN LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Authorized official

Name
Samantha Gonzalez
Title
VP of Operations
Phone
(708) 713-5000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3600 W Belmont Ave Ste 2
Chicago, IL 60618-8787

Mailing address

3600 W Belmont Ave Ste 2
Chicago, IL 60618-8787
Phone (773) 433-8300

National Provider Directory

National Provider Directory
Tax ID family
Dental Town9 organizations share this tax ID, including this one
Part of
Dental Town

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3600 W Belmont Ave
Ste 2
Chicago, IL 60618
Phone (773) 433-8300

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

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": "1765238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765238400000",
    "number": "1275497802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 W BELMONT AVE STE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606188787",
            "telephone_number": "773-433-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 W BELMONT AVE STE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606188787",
            "telephone_number": "773-433-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL TOWN LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL TOWN LTD",
        "enumeration_date": "2025-12-09",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "708-713-5000"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 9, 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.