CHRISTOPHER LEE GREENWALDT DMD NPI 1467849679

NPI Information

NPI: 1467849679
Provider Name: CHRISTOPHER LEE GREENWALDT, DMD
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
801 S PAULINA ST
CHICAGO, IL
ZIP 60612
Phone: (312) 996-7555
Get Directions

Christopher Lee Greenwaldt, DMD 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. Christopher Lee Greenwaldt, DMD NPI is 1467849679. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

801 S PAULINA ST
CHICAGO, IL
ZIP 60612-210
Phone: (312) 996-7555

The NPI 1467849679 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/26/2015 and was last updated on 7/9/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	1223G0001X	Dentist	General Practice	1001283-15	WISCONSIN	No
3	1223G0001X	Dentist	General Practice	019.030223	ILLINOIS	Yes

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

NPI Synchronization or Removal

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