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Periodontal Medicine And Surgical Specialists, Llc
Dental Clinic/Center in Chicago, Illinois
NPI 1386098390

Periodontal Medicine And Surgical Specialists, Llc is a Dental Clinic/Center based in Oakbrook Terrace, IL and is specialized in Dental. Periodontal Medicine And Surgical Specialists, Llc practices in Chicago, IL. The NPI Number for Periodontal Medicine And Surgical Specialists, Llc is 1386098390 and holds a License No. 021001938 (Illinois).

The current practice location address for Periodontal Medicine And Surgical Specialists, Llc is 1009 W Webster Ave, Chicago, IL and can be reached out via phone at 630-627-3930.

Location: 1009 W Webster Ave, Chicago, IL, 60181-3983
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386098390
Provider Name
Periodontal Medicine And Surgical Specialists, Llc
Credential
Provider Entity Type
Organization
Address
1009 W Webster Ave, Chicago, IL, 60181-3983
Phone Number
630-627-3930
Fax Number
Provider Enumeration Date
04/15/2016
Last Update Date
02/15/2025
institution
Provider Business Practice Location Address Details
Address
1009 W Webster Ave
City
Chicago
State
Illinois
Zip
60614-3502
Phone Number
630-627-3930
Fax Number
person
Provider Business Mailing Address Details
Address
1009 W Webster Ave
City
Chicago
State
Illinois
Zip
60614-3502
Phone Number
630-627-3930
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
021002351 (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.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
1223S0112X
License No.
021002676 (Illinois)
Definition
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
021001938 (Illinois)
Definition
Definition to come...
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