Kedzie Dentistry Llc is a Dental Clinic in Chicago, Illinois. It is located at 5430 S Kedzie Ave, Chicago, IL and its contact number is 773-295-2523. The authorized person for Kedzie Dentistry Llc is Prasanth Dommaraju
who is Director of the clinic and their contact number is 630-247-7216. Other organizations associated with this clinic are Dental Impression, Sc, Shafeeq H. Bader, D.d.s., S.c., Kedzie Dentistry Llc,
Kedzie Dentistry Llc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Kedzie Dentistry Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Kedzie Dentistry Llc |
| Specialization: | Dentistry |
| Clinic Address: | 5430 S Kedzie Ave, Chicago,
Illinois, 60632-2620 |
| Phone: | 773-295-2523 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Prasanth Dommaraju |
| Position: | Director |
| Contact Number: | 630-247-7216 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Kedzie Dentistry Llc clinic are as mentioned below.
| NPI Number: | 1871455832 |
| NPI Enumeration Date: | 28 Nov, 2025 |
| NPI Last Update On: | 28 Nov, 2025 |
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
| Name | Specialization | NPI Number |
| Dental Impression, Sc | Dentistry | 1235415548 |
| Shafeeq H. Bader, D.d.s., S.c. | Dentistry | 1366980039 |
| Kedzie Dentistry Llc | Dentistry | 1871455832 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kedzie Dentistry Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | Primary | |
| Dentist | | | Secondary | |
| Orthodontics and Dentofacial Orthopedics | | | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kedzie Dentistry Llc
5430 S Kedzie Ave,
Chicago, Illinois |
| Zip: | 60632-2620 |
| Phone Number: | 773-295-2523 |
Patients can reach Kedzie Dentistry Llc at
5430 S Kedzie Ave, Chicago, Illinois or can
call to book an appointment on 773-295-2523.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.