Individual provider · Type 1 NPI

Luis Andre Mendonca Mezzomo, DR.

General Practice Dentistry · Chicago, IL

NPI number 1639934243 Active

Practice location

801 S Paulina St
Chicago, IL 60612-7210

Call (312) 342-6140 Map

Mailing address

939 W Washington Blvd Apt W709
Chicago, IL 60607-2263

Specialties and licenses

TaxonomyCodeLicense
Prosthodontics 1223P0700X136000272 (IL)
General Practice Dentistry Primary 1223G0001X136000272 (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 1639934243

Luis Andre Mendonca Mezzomo, DR.'s National Provider Identifier is 1639934243, issued on Feb 14, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Chicago, IL. The record was last updated on Feb 16, 2024.