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Dr. Dean Duval Dietrich, DMD
General Practice Dentistry in Dolton, Illinois
NPI 1548359722

Dean Duval Dietrich is a General Practice Dentistry based in Dolton, IL and is specialized in General Practice. Dean Duval Dietrich practices in Dolton, IL and has the professional credentials of DMD. The NPI Number for Dean Duval Dietrich is 1548359722 and holds a License No. 019020148 (Illinois).

The current practice location address for Dean Duval Dietrich is 609 E Sibley Blvd, Dolton, IL and can be reached out via phone at 708-849-4400.

Location: 609 E Sibley Blvd, Dolton, IL, 60419-2648
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548359722
Provider Name
Dean Duval Dietrich
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
609 E Sibley Blvd, Dolton, IL, 60419-2648
Phone Number
708-849-4400
Fax Number
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42-1578802 01 IL EID - PLEASANT DENTAL LLC
institution
Provider Business Practice Location Address Details
Address
609 E Sibley Blvd
City
Dolton
State
Illinois
Zip
60419-2648
Phone Number
708-849-4400
Fax Number
person
Provider Business Mailing Address Details
Address
609 E Sibley Blvd
City
Dolton
State
Illinois
Zip
60419-2648
Phone Number
708-849-4400
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019020148 (Illinois)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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