Individual provider · Type 1 NPI

Kelly Fernanda Molena

Dentist · Chicago, IL

NPI number 1053244640 Active

Practice location

801 South Paulina Street
Chicago, IL 60612

Call (312) 355-1712 Map

Mailing address

801 S Paulina St
Chicago, IL 60612-7210

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X136000285 (IL)

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 1053244640

Kelly Fernanda Molena's National Provider Identifier is 1053244640, issued on Jun 4, 2026. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Chicago, IL. The record was last updated on Jun 4, 2026.