Pro Dental Il - Chad Wise PC
Pro Dental Il - Chad Wise PC is a General Practice Dentistry in Chicago, Illinois. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
712 E 87th St Ste DChicago, IL 60619-6246
Phone: (773) 783-9000
Fax: (773) 994-0067
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X |
|---|
Record details
| NPI number | 1023845302 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Simone Wilson-Adeleke — Director Of Credentialing · (732) 731-8398 |
| Other names | Destiny Dental Of Chatham |
| NPI enumerated | September 19, 2024 |
| Last updated in NPPES | September 19, 2024 |
| Certification date | September 19, 2024 |
| Mailing address | 10 Woodbridge Center Dr Ste 520, Woodbridge, NJ 07095-1152 |
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