National Provider Identifier Database

ADVANCED ENDODONTICS OF CHICAGO
Endodontics

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.


Contact Information

ADVANCED ENDODONTICS OF CHICAGO
111 N WABASH AVE STE 812
CHICAGO, IL60602-1912
Phone: 312-291-9571
Fax: 312-291-9573
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X

* Indicates primary specialty

NPI Profile & details for ADVANCED ENDODONTICS OF CHICAGO

NPI Number 1245678473
Legal business name
LBN
ADVANCED ENDODONTICS OF CHICAGO
Authorized official MILTON DAVENPORT - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 06/10/2013
Last updated 07/10/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • IL License #: 021002223

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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