Individual provider · Type 1 NPI

Maxime Bouvagnet, DMD

Dentist · Chicago, IL

NPI number 1295428803 Active

Practice location

4641 W Diversey Ave
Chicago, IL 60639-1828

Call (773) 692-4147 Map

Mailing address

1541 W Wellington Ave # G
Chicago, IL 60657-4014

Specialties and licenses

Taxonomy	Code	License
Dentist Primary	122300000X	019034281 (IL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1295428803

Maxime Bouvagnet, DMD's National Provider Identifier is 1295428803, issued on May 30, 2023. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Chicago, IL. The record was last updated on May 30, 2023.