Organization · Type 2 NPI
Chicago Dental Professionals Inc
Orthodontics and Dentofacial Orthopedics Dentistry · Chicago, IL
Practice location
2340 N Clybourn
Chicago, IL 60614
Fax (773) 528-2216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 019020453 (IL) |
| Dentist | 122300000X | 019014591 (IL) |
| Dentist | 122300000X | 019017259 (IL) |
| Pediatric Dentistry | 1223P0221X | 021000499 (IL) |
| Pediatric Dentistry | 1223P0221X | 019028564 (IL) |
| Orthodontics and Dentofacial Orthopedics Dentistry Primary | 1223X0400X | 021000831 (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.