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Dr. Marissa Dziepak, DMD
Pediatric Dentist in Frankfort, Illinois
NPI 1184160194

Marissa Dziepak is a Pediatric Dentist based in Bartlett, IL and is specialized in Pediatric Dentistry. Marissa Dziepak practices in Frankfort, IL and has the professional credentials of DMD. The NPI Number for Marissa Dziepak is 1184160194 and holds a License No. 021002906 (Illinois).

The current practice location address for Marissa Dziepak is 39 E Colorado Ave, Frankfort, IL and can be reached out via phone at 708-789-9289.

Location: 39 E Colorado Ave, Frankfort, IL, 60103-2025
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184160194
Provider Name
Marissa Dziepak
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
39 E Colorado Ave, Frankfort, IL, 60103-2025
Phone Number
708-789-9289
Fax Number
Provider Enumeration Date
01/13/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
39 E Colorado Ave
City
Frankfort
State
Illinois
Zip
60423-1385
Phone Number
708-789-9289
Fax Number
person
Provider Business Mailing Address Details
Address
39 E Colorado Ave
City
Frankfort
State
Illinois
Zip
60423-1385
Phone Number
708-789-9289
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
021002906 (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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