Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Diversey Dental Center

Organization Dentist · NPI 1790824654

Diversey Dental Center is a Dentist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007

Practice location Address checks out

5300 W Diversey Ave
Chicago, IL 60639
Phone: (773) 202-1500
Fax: (773) 202-1697
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X (IL)

Record details

NPI number1790824654
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Veronica Hernandez — Office Manager · (773) 202-1500
NPI enumeratedFebruary 6, 2007
Last updated in NPPESAugust 22, 2020
Mailing address5300 W Diversey Ave, Chicago, IL 60639

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