NORTH SHORE DENTISTRY FOR CHILDREN NPI 1396875662

NPI Information

NORTH SHORE DENTISTRY FOR CHILDREN is a pediatric dentistry dentist in Evanston, IL. The provider is 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. NORTH SHORE DENTISTRY FOR CHILDREN NPI is 1396875662. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1560 SHERMAN AVE
SUITE 610
EVANSTON, IL
ZIP 60201-818
Phone: (847) 869-5417

The provider's authorized official is Tracy Carlson Hall .
The authorized official title is Office Manager and has the following contact phone number (847) 869-5417.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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