Individual provider · Type 1 NPI

Brian Joseph Walczak, DDS

Dentist · Chicago, IL

NPI number 1740501774 Active

Practice location

811 W Wellington Ave
Chicago, IL 60657-5123

Call (773) 871-4964 Map

Mailing address

1150 W 15th St, Unit 210
Chicago, IL 60608-3686

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X019.028305 (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 1740501774

Brian Joseph Walczak, DDS's National Provider Identifier is 1740501774, issued on Jun 14, 2010. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Chicago, IL. The record was last updated on Jun 14, 2010.