Individual provider · Type 1 NPI
Lydia Jael Dejonge, DDS
Pediatric Dentistry · Oak Lawn, IL
NPI number
1164042198
Active
Practice location
6305 W 95th St Ste 200
Oak Lawn, IL 60453-2795
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Pediatric Dentistry | 1223P0221X | 021.003285 (IL) |
| Pediatric Dentistry Primary | 1223P0221X | 019.032838 (IL) |
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.
Other pediatric dentistry providers in Oak Lawn
About NPI 1164042198
Lydia Jael Dejonge, DDS's National Provider Identifier is 1164042198, issued on Apr 20, 2020. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Oak Lawn, IL. The record was last updated on Oct 24, 2023.