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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MODERN DENTAL ON CLARK STREET

Active Organization

MODERN DENTAL ON CLARK STREET is a General Dentistry organization located in CHICAGO, Illinois. NPI 1265962674 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · CHICAGO, IL

Registration Details

NPI Number
1265962674
Provider Type
Organization
NPI Issued
Jun 18, 2017 (9.1715166352459 yrs)
Last Updated
Jun 18, 2017

Practice Information

Address
744 N CLARK ST
CHICAGO, IL, 606542525
Browse IL providers · Browse ZIP 60654
Phone
7734895700
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.