Individual provider · Type 1 NPI

Paul Ethan Wine, DDS

General Practice Dentistry · Chicago, IL

NPI number 1316093438 Active

Practice location

2632 W Division St
Chicago, IL 60622-2850

Call (773) 235-0980 Map

Fax (773) 235-1249

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 1316093438

Paul Ethan Wine, DDS's National Provider Identifier is 1316093438, issued on Jan 25, 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.