Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diversey Dental Center

Organization Dentist · NPI 1790824654

Diversey Dental Center provides Dentist services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

5300 W Diversey Ave
Chicago, IL 60639
Phone: (773) 202-1500
Fax: (773) 202-1697
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X (IL)

Record details

NPI number1790824654
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Veronica Hernandez — Office Manager · (773) 202-1500
NPI enumeratedFebruary 6, 2007
Last updated in NPPESAugust 22, 2020
Mailing address5300 W Diversey Ave, Chicago, IL 60639

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