Organization · Type 2 NPI

Chicago Pediatric Dentistry and Orthodontics PLLC

Pediatric Dentistry · Glen Ellyn, IL

NPI number 1235056441 Active

Practice location

799 Roosevelt Rd, Building 4, Ste 100
Glen Ellyn, IL 60137-5908

Mailing address

799 Roosevelt Rd Building 4, Ste 100
Glen Ellyn, IL 60137-5908

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone listed
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400XNone listed

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.

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About NPI 1235056441

Chicago Pediatric Dentistry and Orthodontics PLLC's National Provider Identifier is 1235056441, issued on Jun 30, 2026. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Glen Ellyn, IL. The record was last updated on Jun 30, 2026.