Organization · Type 2 NPI

Chicago Dental Professionals Inc

Orthodontics and Dentofacial Orthopedics Dentistry · Chicago, IL

NPI number 1205841996 Active

Practice location

2340 N Clybourn
Chicago, IL 60614

Fax (773) 528-2216

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X019020453 (IL)
Dentist 122300000X019014591 (IL)
Dentist 122300000X019017259 (IL)
Pediatric Dentistry 1223P0221X021000499 (IL)
Pediatric Dentistry 1223P0221X019028564 (IL)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X021000831 (IL)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1205841996

Chicago Dental Professionals Inc's National Provider Identifier is 1205841996, issued on Jul 30, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Chicago, IL. The record was last updated on Dec 29, 2011.