Individual provider · Type 1 NPI
Charles Dickson, DDS
General Practice Dentistry · Chicago, IL
NPI number
1144555657
Active
Practice location
9761 S Cottage Grove Ave
Chicago, IL 60628-1510
Fax (773) 721-3719
Mailing address
9761 South Cottage Grove Ave.
Chicago, IL 60628-1510
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 03190169751 (IL) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1144555657
Charles Dickson, DDS's National Provider Identifier is 1144555657, issued on Oct 16, 2009. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Chicago, IL. The record was last updated on Oct 16, 2009.