Avenue Dental Clinic & Lab – Dentist, NPI 1740268416

Avenue Dental Clinic & Lab is a healthcare provider. based in Chicago, Illinois. specializing in Dentist. The organization holds a License No. 12010C12A (IN). The NPI Number for Avenue Dental Clinic & Lab is 1740268416

Main info

Organization
Name
Avenue Dental Clinic & Lab
NPI
1740268416
Phone
(773) 278-0334
Address
3518 W FULLERTON AVE
Authorized Official
DR. SILVIO J CAMODECA OWNER DDS DN
Enumeration Date
4 January 2006
Last Update Date
30 August 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience86
Completeness80
Years active:20State licenses:4Digital endpointsUpdated within 12 months

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Provider Addresses for Avenue Dental Clinic & Lab

  • 3518, West Fullerton Avenue, Logan Square, Chicago, Jefferson Township, Cook County, Illinois, 60647, United States

    CHICAGO, IL 60647

    Phone: (773) 278-0334

    Fax: (773) 365-0314

    Mailing address matches the actual address.

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.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 60647)

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Reviews

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Frequently asked questions

Can I use this page to confirm Avenue Dental Clinic & Lab's NPI?
Yes. Avenue Dental Clinic & Lab is listed with NPI 1740268416 in the public NPI dataset.
Is Avenue Dental Clinic & Lab still practicing?
Avenue Dental Clinic & Lab is currently listed as active in the public NPI registry.
What is Avenue Dental Clinic & Lab's primary classification?
Dentist is the headline specialty for Avenue Dental Clinic & Lab here. Clinical services aligned with this taxonomy classification.
Does Avenue Dental Clinic & Lab list a practice location?
Patients near Chicago, Illinois may find Avenue Dental Clinic & Lab in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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