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

Old Town Dental Care, PC

Organization Dentist · NPI 1265677314

Old Town Dental Care, PC provides Dentist services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1504 N Wells St
Chicago, IL 60610-1308 Not confirmed with CMS for 17 years — call before visiting
Phone: (312) 573-0007
Fax: (312) 573-0002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019024892 (IL)

Record details

NPI number1265677314
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sam Tahbaz — President · (312) 573-0007
Other names Lakeview Dental Care, P.C.
NPI enumeratedDecember 3, 2008
Last updated in NPPESDecember 3, 2008
Mailing address1504 N Wells St, Chicago, IL 60610-1308

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