Individual provider · Type 1 NPI
Lynna Jantra Gripentrog, DMD
Pediatric Dentistry · Hinsdale, IL
NPI number
1700148533
Active
Practice location
911 N Elm St Ste 228
Hinsdale, IL 60521
Mailing address
2550 W Fullerton Ave Unit 3C
Chicago, IL 60647-2432
Other practice locations
- 225 E Chicago Ave, Chicago, IL 60611-2991 · (312) 227-4000
- 467 W Deming Pl Ste 900, Chicago, IL 60614-1726 · (312) 227-6056
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 018001832 (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.
About NPI 1700148533
Lynna Jantra Gripentrog, DMD's National Provider Identifier is 1700148533, issued on Jun 7, 2012. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Hinsdale, IL. The record was last updated on Jun 11, 2018.