Organization · Type 2 NPI

Modern Dental of Logan Square LLC

General Practice Dentistry · Chicago, IL

NPI number 1639625437 Active

Practice location

2645 N Milwaukee
Chicago, IL 60647

Call (773) 717-5509 Map

Mailing address

2037 W Division
Chicago, IL 60622

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X019026403 (IL)

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 1639625437

Modern Dental of Logan Square LLC's National Provider Identifier is 1639625437, issued on Aug 31, 2016. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Chicago, IL. The record was last updated on Aug 31, 2016.