Individual provider · Type 1 NPI
Marissa Lauren Wadhwa, DMD
General Practice Dentistry · Chicago, IL
NPI number
1003794983
Active
Practice location
1977 N Milwaukee Ave
Chicago, IL 60647-4338
Mailing address
750 N Hudson Ave Unit 1211
Chicago, IL 60654-6702
Other practice locations
- 6351 N Broadway St Unit A, Chicago, IL 60660-1401 · (312) 584-0510
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 019.036407 (IL) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1003794983
Marissa Lauren Wadhwa, DMD's National Provider Identifier is 1003794983, issued on Aug 26, 2025. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Chicago, IL. The record was last updated on Sep 26, 2025.