Organization · Type 2 NPI

Glen Ellyn Pediatric Dentistry ,p.c..

Pediatric Dentistry · Glen Ellyn, IL

NPI number 1043390792 Active

Practice location

45 S Park Blvd, Suite #105
Glen Ellyn, IL 60137-6280

Call (630) 858-8755 Map

Fax (630) 858-6204

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone listed

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.

38 other providers at this address

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About NPI 1043390792

Glen Ellyn Pediatric Dentistry ,p.c..'s National Provider Identifier is 1043390792, issued on Oct 17, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Glen Ellyn, IL. The record was last updated on Aug 22, 2020.