Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679981096 Individual Practitioner Male Practitioner

Dr. Alex Garo Tanielian , DDS

Dentist - General Practice • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Dr. Alex Tanielian, DDS is a registered healthcare professional specializing in Dentist - General Practice in Chicago, IL. Practice services are available at 111 W JACKSON BLVD STE 1410 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

111 W Jackson Blvd Ste 1410

Chicago, IL 606043867

Telephone 3129392400
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
1200 Specialists

Practicing in Chicago, IL (5581 Statewide)

Telehealth Adoption Rate
0.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-07-06
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019032206

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist

NUCC Taxonomy Code: 122300000X

State License WA 61272179

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License CA 63714

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Practice Locations

13033 Ne Bel Red Rd Ste 220

Bellevue, WA 980052633

Phone: 4252760737

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Staci Sikora , DDS

Dentist - General Practice

NPI 1023225919

Doctor of Dental Surgery

Dr. Brenda Gordon , DDS

Dentist - General Practice

NPI 1083715486

Doctor of Dental Surgery

NPI 1497164594

Doctor of Dental Surgery

NPI 1740850593

Doctor of Dental Surgery

NPI 1851706964

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2022

Dentist (License #61272179 in WA)

📍
Updated Practice Location November 15, 2021

Registered at 111 W JACKSON BLVD STE 1410, CHICAGO, IL 606043867 (Tel: 3129392400)

📍
Updated Business Mailing Address September 02, 2020

Registered at 111 W JACKSON BLVD STE 1410, CHICAGO, IL 606043867 (Tel: 3129392400)

NPI Profile Active September 14, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location September 14, 2016

Registered at 786 HAIGHT ST, SAN FRANCISCO, CA 94117 (Tel: 4156266611)

📍
Updated Business Mailing Address September 14, 2016

Registered at 786 HAIGHT ST, SAN FRANCISCO, CA 94117 (Tel: 4156266611)

👤
Provider Name / Credentials Updated September 14, 2016

Recorded as ALEX TANIELIAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2016

Dentist (License #63714 in CA)

🟢
Initial NPI Registration & Enumeration July 29, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679981096
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 29, 2014
Last Update: July 06, 2022
Sole Proprietor: Yes

Mailing Address

111 W Jackson Blvd Ste 1410

Chicago, IL 606043867

Phone: 3129392400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.