Old Orchard Periodontics & Implant Dentistry Ltd
Periodontology Clinic
4905 Old Orchard Shopping Ctr, Suite 310, Skokie
Illinois, 60077-1425
847-982-0640 847-982-0644
Maps & DirectionsOld Orchard Periodontics & Implant Dentistry Ltd is a Periodontology Clinic in Skokie, Illinois. It is located at 4905 Old Orchard Shopping Ctr, Suite 310, Skokie, IL and its contact number is 847-982-0640. The authorized person for Old Orchard Periodontics & Implant Dentistry Ltd is Dr. David Barack
who is Owner of the clinic and their contact number is 847-982-0640. The primary license number for Old Orchard Periodontics & Implant Dentistry Ltd is 021001143 (Periodontics) in Illinois.
Old Orchard Periodontics & Implant Dentistry Ltd Clinic is specialized in that branch of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Complete Clinic Profile:
Old Orchard Periodontics & Implant Dentistry Ltd Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Old Orchard Periodontics & Implant Dentistry Ltd |
| Specialization: | Periodontology |
| Clinic Address: | 4905 Old Orchard Shopping Ctr, Suite 310, Skokie,
Illinois, 60077-1425 |
| Phone: | 847-982-0640 |
| Fax: | 847-982-0644 |
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: | Dr. David Barack |
| Position: | Owner |
| Contact Number: | 847-982-0640 |
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 Old Orchard Periodontics & Implant Dentistry Ltd clinic are as mentioned below.
| NPI Number: | 1821139171 |
| NPI Enumeration Date: | 09 Feb, 2007 |
| NPI Last Update On: | 29 Jul, 2026 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Old Orchard Periodontics & Implant Dentistry Ltd are as mentioned below.
| Specialization | License Number | State | Status | |
| Periodontics | 021001143 | Illinois | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Old Orchard Periodontics & Implant Dentistry Ltd
4905 Old Orchard Ctr Ste 310,
Skokie, Illinois |
| Zip: | 60077-4740 |
| Phone Number: | 847-982-0640 |
| Fax Number: | 847-982-0644 |
Patients can reach Old Orchard Periodontics & Implant Dentistry Ltd at
4905 Old Orchard Shopping Ctr, Suite 310, Skokie, Illinois or can
call to book an appointment on 847-982-0640.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
14 September, 2026.