Individual provider · Type 1 NPI

Jaime Ann Pettenon, DMD

Pediatric Dentistry · Frankfort, IL

NPI number 1851788913 Active

Practice location

39 E Colorado Ave
Frankfort, IL 60423-1385

Other practice locations

  • 1740 W Taylor St, Chicago, IL 60612-7232 · (866) 600-2273
  • 45 S Park Blvd Ste 105, Glen Ellyn, IL 60137-6299 · (630) 858-8755

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221X019030754 (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.

9 other providers at this address

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About NPI 1851788913

Jaime Ann Pettenon, DMD's National Provider Identifier is 1851788913, issued on Apr 16, 2015. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Frankfort, IL. The record was last updated on Mar 2, 2025.