GRIFFIN ORTHODONTICS PC


Address: 1040 E 47th Street, Chicago, IL 60653
Phone: 7732397696

GRIFFIN ORTHODONTICS PC (NPI# 1417384793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417384793
Entity Type Organization
Organization Name GRIFFIN ORTHODONTICS PC
Other Organization Name IVORY DENTAL SPECIALIST LLC
Practice Address 1040 E 47th Street
Chicago
IL 60653
Mailing Address 1040 E 47th St
Chicago
IL 60653-3600
Practice Telephone 7732397696
Mailing Telephone 7739245123
Enumeration Date 2013-10-02
Last Update Date 2013-10-02
Authorized Official Name DR. BONCIEL GRIFFIN (ORTHODONTIST/OWNER)
Authorized Official Telephone 7732397696
Authorized Official Credential DDS
Is Organization Subpart Y
Parent Organization Name IVORY DENTAL SPECIALIST LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
021002361 IL Dental Providers
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
019025726 IL Dental Providers

Other Provider/Organization Names

Other Name Type Code
ivory dental specialist llc Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1821429804 Griffin Orthodontics PC Dentist 10019 S Western Ave, Chicago, IL 60643-1925 2013-12-02
1881897957 Griffin Orthodontics PC Dentist 2323 Whitesburg Dr S, Huntsville, AL 35801-3819 2007-06-07

Office Location

Street Address 1040 E 47TH STREET
City CHICAGO
State IL
Zip Code 60653

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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427670421 Braces By Barnes Dentist 1335 E 87th St Ste B, Chicago, IL 60619-7036 2020-05-12
1922645308 Riddhi J Desai Dmd Pllc Dentist 727 W Madison St Apt 1208, Chicago, IL 60661-2409 2019-12-04
1346806577 Pulaski Smiling Dental P.C. Dentist 5540 S Pulaski Rd Fl 1, Chicago, IL 60629-4418 2019-05-13
1750944252 Candid Illinois, Pllc Dentist 750 N Franklin St Fl Stc2, Chicago, IL 60654-6263 2019-04-19
1407314610 Orthodontic Experts Ltd Dentist 3339 W Belmont Ave, Chicago, IL 60618-5518 2019-03-06
1669938387 Theresa Karras Dentist 11 E Cedar St, Floor 2, Chicago, IL 60611-6066 2019-02-19
1396235651 Love My Smile Chicago, LLC Dentist 2112 N Clybourn Ave Unit B, Chicago, IL 60614-0800 2018-05-12
1013414655 Flavio Jose Castelli Sanchez Dentist 801 S Paulina St Rm 131, Chicago, IL 60612-7210 2018-04-10
1437659570 John C Ford Dentist 225 E Chicago Ave # 75, Chicago, IL 60611-2991 2018-02-15
1437657582 Orthodontic Experts Dentist 1654 W North Ave, Chicago, IL 60622-2255 2018-01-24
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Competitor

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City CHICAGO
Zip Code 60653

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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