Chicago Pediatric Dentistry and Orthodontics
Dentist (Pediatric Dentistry)

Address: 1136 S Delano Ct W Ste B202, Chicago, IL 60605-3734
Phone: 3127660995

Chicago Pediatric Dentistry and Orthodontics (NPI# 1124629514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1124629514
Entity Type Organization
Organization Name CHICAGO PEDIATRIC DENTISTRY AND ORTHODONTICS
Practice Address 1136 S Delano Ct W Ste B202
Chicago
IL 60605-3734
Practice Telephone 3127660995
Mailing Address 1136 S Delano Ct W Ste B202
Chicago
IL 60605-3734
Mailing Telephone 3127660995
Authorized Official Name Dr. Justin Welke (OWNER)
Authorized Official Telephone 6308861780
Authorized Official Credential DDS
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2020-11-03
Last Update Date 2020-11-03

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
No 261QD0000X Clinic/Center · Dental Ambulatory Health Care Facilities
Yes 1223P0221X Dentist · Pediatric Dentistry Dental Providers

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528562253 Rachel Vorwaller Dentist 1460 N Halsted St Ste 403, Chicago, IL 60642-2607 2018-03-19
1316393390 Erin Marie Petrik Dentist 2530 N Clark St, Apt 203, Chicago, IL 60614-4972 2016-05-10
1720468598 Mehedia Haque Dentist 2062 N Milwaukee Ave, Chicago, IL 60647 2015-06-05
1811300437 Michaella Radich Heitzler Dentist 1611 N. Wolcott Ave, Chicago, IL 60622 2014-06-11
1356768030 Esther Levine Pincus Dentist Chicago Dental Professionals, 2340 North Clybourn Avenue, Chicago, IL 60614 2014-03-19
1316382187 Serena Mitchual Dentist 801 S Paulina St Rm 256, Chicago, IL 60612-7210 2013-05-07
1962790428 Megan Davenport Dentist 1611 N. Wolcott Ave., Chicago, IL 60622-1362 2011-07-19
1295968121 Smile Lee Faces Dentist 4197 S Archer Ave, Chicago, IL 60632 2009-08-26
1013147024 Yummy Dental Dentist 3500 N Lincoln Ave, Chicago, IL 60657-1104 2009-07-24
1659513950 Melissa Marie Connell Dentist 1611 Wolcott Ave., Chicago, IL 60622 2009-04-01
Find all providers in CHICAGO

Office Location

Street Address 1136 S DELANO CT W STE B202
City CHICAGO
State IL
Zip Code 60605-3734

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568074219 Kheri Dunkins Counselor 1136 S Delano Ct, Suite B201, Chicago, IL 60605 2020-08-22
1134739196 Erin Odonnell Physical Therapist 1255 Soputh State Street, Unit 6, Chicago, IL 60605 2020-08-05
1225658032 Rita Haber Speech-Language Pathologist 1255 S Michigan Avenue, 207, Chicago, IL 60605 2020-04-21
1285288753 My Travel Guy, Inc. Transportation Broker 1300 S. Wabash Ave. Suite # 205, Chicago, IL 60605 2019-08-01
1699230417 Iesha Marsh Home Health Aide 820 S Park Terrance, Apt813, Chicago, IL 60605 2019-02-06
1538633482 Sara Miller Counselor 401 S. Lasalle St. Suite 800h, Chicago, IL 60605 2019-01-14
1992203798 Lorna Johnson Nurse Practitioner 1740 W Taylor St., 764e Uih, Mc 509, Chicago, IL 60605 2018-01-26
1790226207 Undine and Associates Social Worker 410 S. Michigan Ave, Ste 943, Chicago, IL 60605 2017-03-16
1659811529 Paul Parpart Occupational Therapist 1235 S Prairie, Chicago, IL 60605 2017-02-27
1144679879 Osco Drug Ambulance 1529 S State St 6e, Chicago, IL 60605 2016-06-03
Find all providers in zip 60605

Competitor

Search similar providers

City CHICAGO
Zip Code 60605

Improve Information

Please provide details on Chicago Pediatric Dentistry and Orthodontics by submitting the form below, or post on facebook comments.

Note that the information provided will be posted publicly on this web page. Please do not leave private contact information here. If you would like to contact us, please use this form.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.