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

Individual provider General Practice Dentistry · NPI 1003794983

Dr. Marissa Lauren Wadhwa, DMD is a General Practice Dentistry in Chicago, Illinois. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2025
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1977 N Milwaukee Ave
Chicago, IL 60647-4338
Phone: (773) 840-5003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6351 N Broadway St Unit A, Chicago, IL 60660-1401 — (312) 584-0510

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019.036407 (IL)

Record details

NPI number1003794983
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 26, 2025
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025

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