Individual provider · Type 1 NPI

John Dimoulis, DDS MS

Periodontics · Chicago, IL

NPI number 1962592865 Active

Practice location

5780 N Lincoln Ave
Chicago, IL 60659-4721

Fax (773) 769-1350

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XNone listed

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1962592865

John Dimoulis, DDS MS's National Provider Identifier is 1962592865, issued on Oct 13, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Chicago, IL. The record was last updated on Jul 8, 2007.