Individual provider · Type 1 NPI

John Kenneth Favale

General Practice Dentistry · Evanston, IL

NPI number 1821180696 Active

Practice location

1604 Chicago Ave
Evanston, IL 60201-6017

Call (847) 866-8844 Map

Mailing address

404 Adelphia Ave
Lake Bluff, IL 60044-1502

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XNone listed

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 1821180696

John Kenneth Favale's National Provider Identifier is 1821180696, issued on Sep 29, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Evanston, IL. The record was last updated on Jul 8, 2007.