Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Calumet Park Dental Inc

Organization Dentist · NPI 1174994479

Calumet Park Dental Inc provides Dentist services in Calumet Park, Illinois. Licensed in Illinois. Registered with an NPI since 2015.

Licensed in
IL
In the registry since
2015
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1328 W 127th St
Calumet Park, IL 60827-6129 Not confirmed with CMS for 10 years — call before visiting
Phone: (708) 597-3131
Fax: (798) 597-1898
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019023113 (IL)

Record details

NPI number1174994479
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shameema Essof — President · (630) 890-3123
NPI enumeratedOctober 13, 2015
Last updated in NPPESOctober 13, 2015
Mailing addressPo Box 179, Blue Island, IL 60406-0179

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