CHICAGO PEDIATRIC DENTISTRY AND ORTHODONTICS NPI 1124629514

NPI Information

CHICAGO PEDIATRIC DENTISTRY AND ORTHODONTICS is a pediatric dentistry dentist in Chicago, 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. CHICAGO PEDIATRIC DENTISTRY AND ORTHODONTICS NPI is 1124629514. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1136 S DELANO CT W STE B202
CHICAGO, IL
ZIP 60605-734
Phone: (312) 766-0995

The provider's authorized official is Justin Welke .
The authorized official title is Owner and has the following contact phone number (630) 886-1780.

The enumeration date for this NPI number is 11/3/2020 and was last updated on 11/3/2020.

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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