JEFFERSON PARK FAMILY DENTAL LLC is a general practice dentist in Chicago, IL. The provider is 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. JEFFERSON PARK FAMILY DENTAL LLC NPI is 1417528589. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider's business location address is:
4452 N CENTRAL AVE
CHICAGO, IL
ZIP 60630-302
Phone: (773) 777-4800
Fax: (773) 777-4918
The provider's authorized official is Robert Cory Stites .
The authorized official title is Insurance Coordinator-decision One and has the following contact phone number (630) 869-5857.
The enumeration date for this NPI number is 7/8/2021 and was last updated on 1/13/2023.