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Dr. Jerry Udelson, DDS
Pediatric Dentist in Forest Park, Illinois
NPI 1013134154

Jerry Udelson is a Pediatric Dentist based in Forest Park, IL and is specialized in Pediatric Dentistry. Jerry Udelson practices in Forest Park, IL and has the professional credentials of DDS. The NPI Number for Jerry Udelson is 1013134154 and holds a License No. 021-001495 (Illinois).

The current practice location address for Jerry Udelson is 1125 Harlem Ave, Forest Park, IL and can be reached out via phone at 708-386-5437 and via fax at 708-771-5439.

Location: 1125 Harlem Ave, Forest Park, IL, 60130-2337
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013134154
Provider Name
Jerry Udelson
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1125 Harlem Ave, Forest Park, IL, 60130-2337
Phone Number
708-386-5437
Fax Number
708-771-5439
Provider Enumeration Date
04/19/2007
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
1125 Harlem Ave
City
Forest Park
State
Illinois
Zip
60130-2337
Phone Number
708-386-5437
Fax Number
708-771-5439
person
Provider Business Mailing Address Details
Address
1125 Harlem Ave
City
Forest Park
State
Illinois
Zip
60130-2337
Phone Number
708-386-5437
Fax Number
708-771-5439
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
021-001495 (Illinois)
Definition
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.
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