person
Dr. Steven Licht, DMD
Oral and Maxillofacial Surgery (Dentist) in Chicago, Illinois
NPI 1841829090

Steven Licht is a Oral and Maxillofacial Surgery (Dentist) based in Chicago, IL and is specialized in Oral and Maxillofacial Surgery. Steven Licht practices in Chicago, IL and has the professional credentials of DMD. The NPI Number for Steven Licht is 1841829090 and holds a License No. (Illinois).

The current practice location address for Steven Licht is 801 S Paulina St, Chicago, IL and can be reached out via phone at 312-996-7555.

Location: 801 S Paulina St, Chicago, IL, 60612-7210
person
Provider Profile Details
NPI Number
1841829090
Provider Name
Steven Licht
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
801 S Paulina St, Chicago, IL, 60612-7210
Phone Number
312-996-7555
Fax Number
Provider Enumeration Date
04/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
801 S Paulina St
City
State
Zip
60612-7210
Phone Number
312-996-7555
Fax Number
person
Provider Business Mailing Address Details
Address
801 S Paulina St
City
State
Zip
60612-7210
Phone Number
312-996-7555
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Oral and Maxillofacial Surgery
Taxonomy
License No.
019.032679 (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 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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