DR. KESANET T GEBREKIDAN (DDS) – Dentist, NPI 1104838002

DR. KESANET T GEBREKIDAN (DDS) is a healthcare provider. based in Evanston, Illinois. specializing in Dentist. They hold the professional credentials DDS. The NPI Number for DR. KESANET T GEBREKIDAN (DDS) is 1104838002

Main info

Female
Sole Proprietor
Name
DR. KESANET T GEBREKIDAN (DDS)
NPI
1104838002
Phone
(847) 864-4914
Address
2303 CENTRAL ST APT 1W
Enumeration Date
12 August 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for DR. KESANET T GEBREKIDAN (DDS)

  • 2303 CENTRAL ST APT 1W

    EVANSTON, IL 602015728

    Phone: (847) 864-4914

    Type: Mailing

  • 5353-5359, West Fullerton Avenue, Cragin, Beat 2515, Chicago, Jefferson Township, Cook County, Illinois, 690639, United States

    CHICAGO, IL 606391450

    Phone: (773) 637-7053

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60201)

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Reviews

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Frequently asked questions

What NPI should I save for DR. KESANET T GEBREKIDAN (DDS)?
Save NPI 1104838002 if you need a stable reference for DR. KESANET T GEBREKIDAN (DDS).
Does this profile mean DR. KESANET T GEBREKIDAN (DDS) is currently active?
Yes — DR. KESANET T GEBREKIDAN (DDS) appears active in the national provider directory.
What does DR. KESANET T GEBREKIDAN (DDS) treat or focus on?
Patients typically see DR. KESANET T GEBREKIDAN (DDS) under the specialty Dentist. Clinical services aligned with this taxonomy classification.
What location shows for DR. KESANET T GEBREKIDAN (DDS)?
We surface Evanston, Illinois for DR. KESANET T GEBREKIDAN (DDS) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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