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

Woodlawn Dental Gallery

Organization Dentist · NPI 1568838043

Woodlawn Dental Gallery is a Dentist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2015.

Licensed in
IL
In the registry since
2015

Practice location Address checks out

1502 E 63rd St
Chicago, IL 60637-2921
Phone: (773) 496-5138
Fax: (773) 496-5142
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019027749 (IL)

Record details

NPI number1568838043
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ogbonna Bowden — President · (773) 793-1220
NPI enumeratedAugust 19, 2015
Last updated in NPPESAugust 19, 2015
Mailing address8544 S Stony Island Ave, Chicago, IL 60617-2248

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