Organization · Type 2 NPI
Jerry E Udelson, Dds, PC
Pediatric Dentistry · Forest Park, IL
NPI number
1881885127
Active
Practice location
1125 Harlem Ave
Forest Park, IL 60130-2337
Fax (708) 771-5439
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 021001495 (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.
2 other providers at this address
About NPI 1881885127
Jerry E Udelson, Dds, PC's National Provider Identifier is 1881885127, issued on Aug 1, 2007. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Forest Park, IL. The record was last updated on Jul 17, 2024.