Active NPI
Dental Town LTD
Doing business as Dental Town Little Village
- General Practice Dentistry
- Chicago, IL
National Provider Identifier
1295204220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- DENTAL TOWN LTD
- Doing business as
- Dental Town Little Village
- Practice address
- 3004 W 26TH St
Chicago, IL 60623-4128 - Phone
- (773) 231-8000
- Fax
- (773) 231-8000
- NPI assigned
- Nov 20, 2018
- Last updated
- Dec 8, 2025
- Organization subpart
- Yes
- Parent organization
- DENTAL TOWN LTD
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
3004 W 26TH St
Chicago, IL 60623-4128
Mailing address
3004 W 26TH St
Chicago, IL 60623-4128
Phone (773) 231-8000
Other names 1
- Dental Town Little Village
National Provider Directory
National Provider Directory- Part of
- Dental Town LTD
Locations
6283 S Archer Ave
Chicago, IL 60638
Phone (773) 585-3131
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.
-
- General Practice Dentistry
- Oakbrook Terrace, IL
- NPI 1891116356
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Dentist
- Chicago, IL
- NPI 1982343422
-
- Dentist
- Berwyn, IL
- NPI 1629811096
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542672000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765152000000",
"number": "1295204220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3004 W 26TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606234128",
"telephone_number": "773-231-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3004 W 26TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606234128",
"telephone_number": "773-231-8000",
"fax_number": "773-231-8000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENTAL TOWN LTD",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DENTAL TOWN LTD",
"enumeration_date": "2018-11-20",
"last_updated": "2025-12-08",
"certification_date": "2025-12-08",
"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": "",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Dental Town Little Village",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Dental Town Little Village",
"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 Dec 8, 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.