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Glen Ellyn Pediatric Dentistry ,p.c..
Pediatric Dentist in Glen Ellyn, Illinois
NPI 1043390792

Glen Ellyn Pediatric Dentistry ,p.c.. is a Pediatric Dentist based in Glen Ellyn, IL and is specialized in Pediatric Dentistry. Glen Ellyn Pediatric Dentistry ,p.c.. practices in Glen Ellyn, IL. The NPI Number for Glen Ellyn Pediatric Dentistry ,p.c.. is 1043390792 and holds a License No. (Illinois).

The current practice location address for Glen Ellyn Pediatric Dentistry ,p.c.. is 45 S Park Blvd, Glen Ellyn, IL and can be reached out via phone at 630-858-8755 and via fax at 630-858-6204.

Location: 45 S Park Blvd, Glen Ellyn, IL, 60137-6280
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043390792
Provider Name
Glen Ellyn Pediatric Dentistry ,p.c..
Credential
Provider Entity Type
Organization
Address
45 S Park Blvd, Glen Ellyn, IL, 60137-6280
Phone Number
630-858-8755
Fax Number
630-858-6204
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
45 S Park Blvd
City
Glen Ellyn
State
Illinois
Zip
60137-6280
Phone Number
630-858-8755
Fax Number
630-858-6204
person
Provider Business Mailing Address Details
Address
45 S Park Blvd
City
Glen Ellyn
State
Illinois
Zip
60137-6280
Phone Number
630-858-8755
Fax Number
630-858-6204
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
()
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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