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Periodontics & Dental Implant Center Ltd
Periodontist in Chicago, Illinois
NPI 1275874182

Periodontics & Dental Implant Center Ltd is a Periodontist based in Chicago, IL and is specialized in Periodontics. Periodontics & Dental Implant Center Ltd practices in Chicago, IL. The NPI Number for Periodontics & Dental Implant Center Ltd is 1275874182 and holds a License No. 019028531 (Illinois).

The current practice location address for Periodontics & Dental Implant Center Ltd is 1900 W 47Th St, Chicago, IL and can be reached out via phone at 773-847-9004 and via fax at 773-847-9008.

Location: 1900 W 47Th St, Chicago, IL, 60609-3833
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275874182
Provider Name
Periodontics & Dental Implant Center Ltd
Credential
Provider Entity Type
Organization
Address
1900 W 47Th St, Chicago, IL, 60609-3833
Phone Number
773-847-9004
Fax Number
773-847-9008
Provider Enumeration Date
03/04/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
019028531 05 IL
institution
Provider Business Practice Location Address Details
Address
1900 W 47Th St
City
Chicago
State
Illinois
Zip
60609-3833
Phone Number
773-847-9004
Fax Number
773-847-9008
person
Provider Business Mailing Address Details
Address
1900 W 47Th St
City
Chicago
State
Illinois
Zip
60609-3833
Phone Number
773-847-9004
Fax Number
773-847-9008
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
019028531 (Illinois)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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