Individual provider · Type 1 NPI

Sam Park, DDS

Pediatric Dentistry · Chicago, IL

NPI number 1295871267 Active

Practice location

2959 S Wallace St, Children's Dental World
Chicago, IL 60616-3034

Call (312) 326-5437 Map

Fax (312) 842-5338

Other practice locations

  • 5826 Dempster St, Morton Grove, IL 60053-3046 · (847) 470-0665

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X021002099 (IL)

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.

7 other providers at this address

Other pediatric dentistry providers in Chicago

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About NPI 1295871267

Sam Park, DDS's National Provider Identifier is 1295871267, issued on Jan 29, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Chicago, IL. The record was last updated on Aug 6, 2020.