UNIVERSITY DENTAL PROFESSIONALS NPI 1548484793

NPI Information

UNIVERSITY DENTAL PROFESSIONALS 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. UNIVERSITY DENTAL PROFESSIONALS NPI is 1548484793. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5549 S CORNELL AVE
CHICAGO, IL
ZIP 60637-914
Phone: (773) 684-5702

The provider's authorized official is Mary Beth Reckamp .
The authorized official title is Office Manager and has the following contact phone number (773) 684-5702.

The CLIA number assigned to this NPI record is 14D2017032 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 7/22/2008.

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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