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

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone 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.