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

Dr. Kesanet T Gebrekidan, DDS

Individual provider Dentist · NPI 1104838002

Dr. Kesanet T Gebrekidan, DDS is a Dentist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

5359 W Fullerton Ave
Chicago, IL 60639-1450
Phone: (773) 637-7053
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X (IL)

Record details

NPI number1104838002
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 12, 2006
Last updated in NPPESJuly 8, 2007

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