Healthcare Provider Details

I. General information

NPI: 1962332544
Provider Name (Legal Business Name): DENTAL TSANGTUARY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1064 W ARGYLE ST
CHICAGO IL
60640-3708
US

IV. Provider business mailing address

1064 W ARGYLE ST
CHICAGO IL
60640-3708
US

V. Phone/Fax

Practice location:
  • Phone: 773-710-1053
  • Fax:
Mailing address:
  • Phone: 773-710-1053
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL TSANG
Title or Position: PRESIDENT
Credential: DMD, MA
Phone: 773-710-1053