Individual provider · Type 1 NPI
Dominique Erica Bertucci, DMD
Pediatric Dentistry · Chicago, IL
NPI number
1821725839
Active
Practice location
737 N Michigan Ave Ste 1330
Chicago, IL 60611-5401
Mailing address
3349 S Parnell Ave
Chicago, IL 60616-3517
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 019.034933 (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.
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About NPI 1821725839
Dominique Erica Bertucci, DMD's National Provider Identifier is 1821725839, issued on Aug 1, 2022. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Chicago, IL. The record was last updated on Apr 22, 2025.