Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JERRY UDELSON, DDS
Active Sole ProprietorDR. JERRY UDELSON, DDS is a Pediatric Dentistry healthcare provider located in FOREST PARK, Illinois. NPI 1013134154 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · FOREST PARK, IL
Registration Details
- NPI Number
- 1013134154
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 19, 2007 (19.34035083557 yrs)
- Last Updated
- Jul 17, 2024
- License
-
021-001495 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1125 HARLEM AVEFOREST PARK, IL, 601302337Browse IL providers · Browse ZIP 60130
- Phone
- 7083865437
- Fax
- 7087715439
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in FOREST PARK, IL
| Name | Credential | NPI |
|---|---|---|
| DR. ARA CHO | D.M.D. | 1215296942 |
| JOSHUA WOODRUFF | DMD | 1013331644 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.