Organization · Type 2 NPI

Green Bay Trail Dentistry

Dentist · Evanston, IL

NPI number 1457405987 Active

Practice location

2632 Green Bay Rd
Evanston, IL 60201

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X019021406 (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 1457405987

Green Bay Trail Dentistry's National Provider Identifier is 1457405987, issued on Jan 22, 2007. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Evanston, IL. The record was last updated on May 24, 2011.