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Solomon Pesis DDS, Dental Outreach P.C.

Dentist in Chicago, IL. Organization (NPI-2).

NPI number1245484286
StatusActive
Last updated in NPPESFeb 18, 2026

Details

NPI
1245484286
Entity type
Organization (NPI-2)
Legal business name
Solomon Pesis DDS, Dental Outreach P.C.
Organization subpart
No
Enumeration date
Nov 4, 2008
Certification date
Feb 18, 2026
Last updated
Feb 18, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist19.027813ILYes

Practice location

8770 W Bryn Mawr Ave
Suite 1300
Chicago, IL 60631-3515

Phone 888-833-8441 · Fax 888-330-4331

Mailing address

33533 W 12 Mile Rd Ste 150
Farmington Hills, MI 48331-5600

Phone 888-833-8441 · Fax 888-330-4331

Authorized official

Solomon Pesis
Dental Director
8888338441

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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