Organization · Type 2 NPI
Chicago Pediatric Dentistry and Orthodontics PLLC
Pediatric Dentistry · Chicago, IL
NPI number
1124629514
Active
Practice location
1136 S Delano Ct W Ste B202
Chicago, IL 60605-3734
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None listed |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | None listed |
| Dental Clinic/Center | 261QD0000X | None 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.
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About NPI 1124629514
Chicago Pediatric Dentistry and Orthodontics PLLC's National Provider Identifier is 1124629514, issued on Nov 3, 2020. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Chicago, IL. The record was last updated on Jun 30, 2026.