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

Individual provider Endodontics · NPI 1467067967

Dr. Vashti Bueso is an Endodontics in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois and Oregon.

Licensed in
IL, OR
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

801 S Paulina St
Chicago, IL 60612-7210
Phone: (077) 502-6176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 019.034253 (IL)
General Practice Dentistry Taxonomy 1223G0001X · Licence D11329 (OR)

Record details

NPI number1467067967
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 10, 2020
Last updated in NPPESJuly 28, 2023
Certification dateJuly 28, 2023

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