Organization · Type 2 NPI

South Holland Dental PC

General Practice Dentistry · Dolton, IL

NPI number 1962822296 Active

Practice location

808 E Sibley Blvd
Dolton, IL 60419-2130

Call (708) 499-0100 Map

Mailing address

4842 W Cermak Rd
Cicero, IL 60804-2531

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None 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.

Another provider at this address

Metro Kidz Dental, PCPediatric Dentistry Dolton, IL NPI 1063836567

Other general practice dentistry providers in Dolton

See all in Dolton →

NPI record

NPI: 1962822296
Entity type: Organization (Type 2)
Issued: Apr 25, 2014
Last updated: Aug 11, 2014
Status: Active
Subpart: Yes of Metrosmiles - Cicero Dental, P.c

Other names

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Metro Smiles - Dolton · doing business as

Authorized official

Dr. Chris Tsaliagos
President
(708) 499-0100

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1962822296

South Holland Dental PC's National Provider Identifier is 1962822296, issued on Apr 25, 2014. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Dolton, IL. The record was last updated on Aug 11, 2014.