Organization · Type 2 NPI
Tooth Fairy World PC
Pediatric Dentistry · Chicago, IL
NPI number
1811055072
Active
Practice location
2069 North Clybourn Avenue
Chicago, IL 60614
Fax (773) 868-6453
Mailing address
2069 N Clybourn Ave
Chicago, IL 60614
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None listed |
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 1811055072
Tooth Fairy World PC's National Provider Identifier is 1811055072, issued on Dec 4, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Chicago, IL. The record was last updated on Aug 22, 2020.