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

MODERN DENTAL OF LOGAN SQUARE LLC

Active Organization

MODERN DENTAL OF LOGAN SQUARE LLC is a General Dentistry organization located in CHICAGO, Illinois. NPI 1639625437 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · CHICAGO, IL

Registration Details

NPI Number
1639625437
Provider Type
Organization
NPI Issued
Aug 31, 2016 (9.9809441216407 yrs)
Last Updated
Aug 31, 2016
License
019026403 (IL)

Practice Information

Address
2645 N MILWAUKEE
CHICAGO, IL, 60647
Browse IL providers · Browse ZIP 60647
Phone
7737175509
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.