Healthcare Provider Details

I. General information

NPI: 1497617955
Provider Name (Legal Business Name): NATASHA ALEXANDRA GARCIA DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2537 W NORTH AVE
MELROSE PARK IL
60160-1121
US

IV. Provider business mailing address

9600 FRANKLIN AVE APT 308
FRANKLIN PARK IL
60131-2771
US

V. Phone/Fax

Practice location:
  • Phone: 708-345-6400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number019037408
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: