Organization · Type 2 NPI

Wicker Park Dental, Ltd

Dentist · Chicago, IL

NPI number 1003962192 Active

Practice location

1738 W North Ave
Chicago, IL 60622

Call (773) 276-5566 Map

Fax (773) 276-8780

Mailing address

1738 W. North Ave
Chicago, IL 60622

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X060010054 (IL)
Dental Clinic/Center 261QD0000XNone listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1003962192

Wicker Park Dental, Ltd's National Provider Identifier is 1003962192, issued on Jan 25, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Chicago, IL. The record was last updated on Feb 9, 2009.