Individual provider · Type 1 NPI
Jerry Udelson, DDS
Pediatric Dentistry · Forest Park, IL
NPI number
1013134154
Active
Practice location
1125 Harlem Ave
Forest Park, IL 60130-2337
Fax (708) 771-5439
Other practice locations
- 323 N York St, Elmhurst, IL 60126-2319 · (630) 833-1166
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 021-001495 (IL) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2 other providers at this address
Other pediatric dentistry providers in Forest Park
About NPI 1013134154
Jerry Udelson, DDS's National Provider Identifier is 1013134154, issued on Apr 19, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Forest Park, IL. The record was last updated on Jul 17, 2024.