Pulaski Universal Dental LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

PULASKI UNIVERSAL DENTAL LLC

Practice address

4445 N Pulaski Rd
Unit R
Chicago, IL 60630-4400

Phone

(708) 499-9944

NPI assigned

Sep 1, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Ahmed Ramaha, DDS

Title

President

Phone

(708) 499-9944

Specialties & licenses 1

Addresses

Tax ID family

Pulaski Universal Dental LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pulaski Universal Dental LLC

  • General Practice Dentistry
  • Chicago, IL
  • NPI 1225379464
  NPD tax ID

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1932480191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9618 SOUTHWEST HWY",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532862",
            "telephone_number": "708-394-5100",
            "fax_number": "708-907-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 N PULASKI RD",
            "address_2": "UNIT R",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606304400",
            "telephone_number": "708-499-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULASKI UNIVERSAL DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-01",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "RAMAHA",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-499-9944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pulaski Amazing Dental LLC
• Pulaski Dental Center P.C
• Pulaski Road Dentistry PLLC
• Pulaski Smiling Dental P.C.
• Pulaski Universal Dental LLC
• Pulaski Vision Center LLC
• Mark Pulaski
• Kenneth Puleikis
• Lidiane Puleikis
• Alessandra Kay Puleo, APRN-PNP

• General Practice Dentistry in Chicago, IL
• Providers in Chicago, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.