Individual provider · Type 1 NPI

Kesanet T. Gebrekidan, DDS

Dentist · Chicago, IL

NPI number 1104838002 Active

Practice location

5359 W Fullerton Ave
Chicago, IL 60639-1450

Mailing address

2303 Central St Apt 1W
Evanston, IL 60201-5728

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XNone 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 1104838002

Kesanet T. Gebrekidan, DDS's National Provider Identifier is 1104838002, issued on Aug 12, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Chicago, IL. The record was last updated on Jul 8, 2007.