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ADVANCED ENDODONTICS OF CHICAGO NPI 1245678473


NPI Information

NPI: 1245678473
Provider Name: ADVANCED ENDODONTICS OF CHICAGO
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
111 N WABASH AVE STE 812
CHICAGO, IL
ZIP 60602
Phone: (312) 291-9571
Get Directions

ADVANCED ENDODONTICS OF CHICAGO is an endodontics dentist in Chicago, IL. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. ADVANCED ENDODONTICS OF CHICAGO NPI is 1245678473. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

111 N WABASH AVE STE 812
CHICAGO, IL
ZIP 60602-912
Phone: (312) 291-9571
Fax: (312) 291-9573

The provider's authorized official is Milton L Davenport .
The authorized official title is President and has the following contact phone number (312) 291-9571.

The enumeration date for this NPI number is 6/10/2013 and was last updated on 7/10/2013.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223E0200XDentistEndodontics021002223ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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