Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LYDIA JAEL DEJONGE, DDS
Active Sole ProprietorLYDIA JAEL DEJONGE, DDS is a Pediatric Dentistry healthcare provider located in OAK LAWN, Illinois. NPI 1164042198 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · OAK LAWN, IL
Registration Details
- NPI Number
- 1164042198
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 20, 2020 (6.3364786413339 yrs)
- Last Updated
- Oct 24, 2023
- Licenses
-
021.003285 (IL)019.032838 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6305 W 95TH ST STE 200OAK LAWN, IL, 604532795Browse IL providers · Browse ZIP 60453
- Phone
- 7084241300
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Pediatric Dentistry
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in OAK LAWN, IL
| Name | Credential | NPI |
|---|---|---|
| JANICE A LUBAS | DDS | 1982738829 |
| CALLI WILLETT | — | 1750919429 |
| RICHA BHATIA | DDS | 1003563529 |
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.