Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. KELLY ELIZABETH CANAVAN, DDS
ActiveDR. KELLY ELIZABETH CANAVAN, DDS is a General Dentistry healthcare provider located in CHICAGO, Illinois. NPI 1720645971 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · CHICAGO, IL
Registration Details
- NPI Number
- 1720645971
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 23, 2019 (7.2382323994939 yrs)
- Last Updated
- Oct 24, 2019
- Licenses
-
30.025723 (OH)019.032392 (IL)
Practice Information
- Address
-
8301 S HOLLAND RD STE BCHICAGO, IL, 606201303Browse IL providers · Browse ZIP 60620
- Phone
- 7734882444
- Primary Specialty
-
General Dentistry
1223G0001X
- Additional Specialty
- General Dentistry
Other General Dentistry Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL C GRIFFIN | D.M.D. | 1376546382 |
| DR. KATHERINE LAUTERBACH | D.D.S. | 1528061520 |
| DR. ALAN ARA BOGHOSIAN | DDS | 1285637272 |
| DR. KENNETH FRIED | DDS | 1457354441 |
| DR. VERONICA LYNN DIMARIO | DDS | 1891799508 |
| DR. MARK J. GRUNBERG | D.D.S. | 1962407239 |
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.