Provider Demographics
NPI:1275409153
Name:SPECIALTY DENTAL SERVICES LTD
Entity type:Organization
Organization Name:SPECIALTY DENTAL SERVICES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PERIODONTIST, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SAAD
Authorized Official - Middle Name:KHIZAR
Authorized Official - Last Name:USMANI
Authorized Official - Suffix:
Authorized Official - Credentials:BDS, MSD
Authorized Official - Phone:312-273-9350
Mailing Address - Street 1:111 N WABASH AVE STE 812
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-1912
Mailing Address - Country:US
Mailing Address - Phone:312-273-9350
Mailing Address - Fax:
Practice Address - Street 1:111 N WABASH AVE STE 812
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-1912
Practice Address - Country:US
Practice Address - Phone:312-273-9350
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-16
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0300XDental ProvidersDentistPeriodonticsGroup - Single Specialty