Jefferson Park Family Dental LLC
Jefferson Park Family Dental LLC provides General Practice Dentistry in Chicago, Illinois. Registered with an NPI since 2021.
- In the registry since
- 2021
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4452 N Central AveChicago, IL 60630-3302
Phone: (773) 777-4800
Fax: (773) 777-4918
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1417528589 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Robert Stites — Insurance Coordinator-Decision One · (630) 869-5857 |
| NPI enumerated | July 8, 2021 |
| Last updated in NPPES | January 13, 2023 |
| Certification date | January 13, 2023 |
| Mailing address | 4452 N Central Ave, Chicago, IL 60630-3302 |
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