Individual provider · Type 1 NPI

Fonda R. Pedersen, DDS

General Practice Dentistry · Chicago, IL

NPI number 1295950996 Active

Practice location

7357 W Addison St
Chicago, IL 60634-3429

Call (773) 889-6100 Map

Fax (773) 889-8737

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone 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 1295950996

Fonda R. Pedersen, DDS's National Provider Identifier is 1295950996, issued on Apr 16, 2007. 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 8, 2007.