institution
Jerry E Udelson, Dds, Pc
Pediatric Dentist in Forest Park, Illinois
NPI 1881885127

Jerry E Udelson, Dds, Pc is a Pediatric Dentist based in Forest Park, IL and is specialized in Pediatric Dentistry. Jerry E Udelson, Dds, Pc practices in Forest Park, IL. The NPI Number for Jerry E Udelson, Dds, Pc is 1881885127 and holds a License No. 021001495 (Illinois).

The current practice location address for Jerry E Udelson, Dds, Pc is 1125 Harlem Ave, Forest Park, IL and can be reached out via phone at 708-386-5437 and via fax at 708-771-5439.

Location: 1125 Harlem Ave, Forest Park, IL, 60130-2337
institution
Provider Profile Details
NPI Number
1881885127
Provider Name
Jerry E Udelson, Dds, Pc
Credential
Provider Entity Type
Organization
Address
1125 Harlem Ave, Forest Park, IL, 60130-2337
Phone Number
708-386-5437
Fax Number
708-771-5439
Provider Enumeration Date
08/01/2007
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
1125 Harlem Ave
City
State
Zip
60130-2337
Phone Number
708-386-5437
Fax Number
708-771-5439
person
Provider Business Mailing Address Details
Address
1125 Harlem Ave
City
State
Zip
60130-2337
Phone Number
708-386-5437
Fax Number
708-771-5439
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
021001495 (Illinois)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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