Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Periodontal Medicine and Surgical Specialists, LLC

Organization Periodontics · NPI 1588703490

Periodontal Medicine and Surgical Specialists, LLC provides Periodontics in Park Ridge, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1875 Dempster St Ste 250
Park Ridge, IL 60068-1186
Phone: (847) 698-1180
Fax: (847) 698-1185
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 019024971 (IL)
Periodontics Taxonomy 1223P0300X · Licence 019030200 (IL)
Periodontics Taxonomy 1223P0300X · Licence 019014972 (IL)
Dental Hygienist Taxonomy 124Q00000X · Licence 020005282 (IL)

Record details

NPI number1588703490
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official George Mandelaris — Owner Periodontist · (630) 627-3930
Other names Periodontal Medicine And Surgical Specialists, Ltd
NPI enumeratedFebruary 6, 2007
Last updated in NPPESDecember 29, 2016
Mailing address1s224 Summit Ave, Suite 205, Oakbrook Terrace, IL 60181-3983

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