Organization · Type 2 NPI

Modern Dental On Clark Street

General Practice Dentistry · Chicago, IL

NPI number 1265962674 Active

Practice location

744 N Clark St
Chicago, IL 60654-2525

Call (773) 489-5700 Map

Mailing address

2037 W Division St
Chicago, IL 60622-3157

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed
Dental Clinic/Center 261QD0000XNone listed
Preferred Provider Organization 305R00000XNone listed

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 1265962674

Modern Dental On Clark Street's National Provider Identifier is 1265962674, issued on Jun 18, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Chicago, IL. The record was last updated on Jun 18, 2017.