Healthcare Provider Details

I. General information

NPI: 1407789407
Provider Name (Legal Business Name): TIGRAN PAPYAN DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 E 93RD ST
CHICAGO IL
60617-3607
US

IV. Provider business mailing address

812 W ADAMS ST UNIT 303
CHICAGO IL
60607-5233
US

V. Phone/Fax

Practice location:
  • Phone: 747-388-1660
  • Fax:
Mailing address:
  • Phone: 747-388-1660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number019.037093
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: