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A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
1223G0001X | |||
Dentist |
122300000X | |||
Endodontics |
1223E0200X | |||
Orthodontics and Dentofacial Orthopedics |
1223X0400X | |||
Pediatric Dentistry |
1223P0221X | |||
Periodontics |
1223P0300X | |||
Prosthodontics |
1223P0700X |
| NPI # | 1053382242 |
| LBN Legal business name | ILLINOIS DENTAL PROVIDERS (CHICAGO LOOP), LTD |
| Authorized official | RACHEL NITTINGER - (MANAGER CREDENTIALING) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 01/27/2006 |
| Last updated | 03/20/2018 - About 8 years ago |
| Identifiers | n/a |
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| THOMAS J MCDERMOTT, DDS 30 N. MICHIGAN AVE. CHICAGO, IL |
| SMILES BY DESIGN PC 203 N LA SALLIE ST CHICAGO, IL |
| KEVIN R WALLACE, DMD 150 E HURON ST CHICAGO, IL |
| THERESA WESTFALLEN 1738 W NORTH AVE CHICAGO, IL |
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| WILLIAM K WAN, MD 2262 S. WENTWORTH AVE CHICAGO, IL |
| DAWN L HEISLEY, DDS 300 W 30TH ST CHICAGO, IL |
| HICHAM RIBA DDS P.C. 2556 W NORTH AVE CHICAGO, IL |
| MARTINEZ DENTAL PC 3915 W 26TH ST CHICAGO, IL |
| DIANA K CARDONA SALAZAR, DMD, MS 4049 W 26TH ST CHICAGO, IL |
ILLINOIS DENTAL PROVIDERS (CHICAGO LOOP), LTD