Organization · Type 2 NPI

Chicagoland Community Pediatric Dentistry, P.c.

Pediatric Dentistry · Chicago, IL

NPI number 1497138135 Active

Practice location

836 W Wellington Ave
Chicago, IL 60657-5147

Mailing address

5200 S Massasoit Ave
Chicago, IL 60638-1508

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X019026478 (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.

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About NPI 1497138135

Chicagoland Community Pediatric Dentistry, P.c.'s National Provider Identifier is 1497138135, issued on Jun 30, 2015. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Chicago, IL. The record was last updated on Jun 30, 2015.