Individual provider · Type 1 NPI

Jose A. Villanueva Iv

General Practice Dentistry · Chicago, IL

NPI number 1215537113 Active

Practice location

801 S Paulina St
Chicago, IL 60612-7210

Call (312) 996-7555 Map

Mailing address

470 Pfingsten Rd
Northbrook, IL 60062-2506

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Dentistry Primary 1223G0001X1002599-15 (WI)

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 1215537113

Jose A. Villanueva Iv's National Provider Identifier is 1215537113, issued on Oct 29, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Chicago, IL. The record was last updated on Jul 9, 2021.