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

JEFFERSON PARK FAMILY DENTAL LLC

Active Organization

JEFFERSON PARK FAMILY DENTAL LLC is a General Dentistry organization located in CHICAGO, Illinois. NPI 1417528589 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · CHICAGO, IL

Registration Details

NPI Number
1417528589
Provider Type
Organization
NPI Issued
Jul 8, 2021 (5.1158867901286 yrs)
Last Updated
Jan 13, 2023

Practice Information

Address
4452 N CENTRAL AVE
CHICAGO, IL, 606303302
Browse IL providers · Browse ZIP 60630
Phone
7737774800
Fax
7737774918
Primary Specialty
General Dentistry
1223G0001X
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.