Individual provider · Type 1 NPI

Todd Hearns, DMD

Dental Anesthesiology · Chicago, IL

NPI number 1124723374 Active

Practice location

811 W Wellington Ave
Chicago, IL 60657-5123

Call (773) 871-1461 Map

Fax (773) 871-6353

Mailing address

12184 Natural Bridge Rd
Bridgeton, MO 63044-2017

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X2026021839 (MO)
Dental Anesthesiology 1223D0004X019.034392 (IL)
Dental Anesthesiology Primary 1223D0004X2026021839 (MO)

Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.

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About NPI 1124723374

Todd Hearns, DMD's National Provider Identifier is 1124723374, issued on Apr 4, 2023. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Chicago, IL. The record was last updated on Jul 9, 2026.