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A-denta Care Specialist Pc
Periodontist in Chicago, Illinois
NPI 1417223470

A-denta Care Specialist Pc is a Periodontist based in Chicago, IL and is specialized in Periodontics. A-denta Care Specialist Pc practices in Chicago, IL. The NPI Number for A-denta Care Specialist Pc is 1417223470 and holds a License No. 021002414 (Illinois).

The current practice location address for A-denta Care Specialist Pc is 5780 N Lincoln Ave, Chicago, IL and can be reached out via phone at 773-769-1754 and via fax at 773-769-1370.

Location: 5780 N Lincoln Ave, Chicago, IL, 60659-4721
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1417223470
Provider Name
A-denta Care Specialist Pc
Credential
Provider Entity Type
Organization
Address
5780 N Lincoln Ave, Chicago, IL, 60659-4721
Phone Number
773-769-1754
Fax Number
773-769-1370
Provider Enumeration Date
03/23/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1619133345 01 IL NPI DENTAL PROVIDER
136645657 01 IL NPI DENTAL PROVIDER
1962592865 01 IL DENTAL PROVIDER
institution
Provider Business Practice Location Address Details
Address
5780 N Lincoln Ave
City
Chicago
State
Illinois
Zip
60659-4721
Phone Number
773-769-1754
Fax Number
773-769-1370
person
Provider Business Mailing Address Details
Address
5780 N Lincoln Ave
City
Chicago
State
Illinois
Zip
60659-4721
Phone Number
773-769-1754
Fax Number
773-769-1370
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Endodontics
Taxonomy
1223E0200X
License No.
021002411 (Illinois)
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
021002414 (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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