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

Lidiane Fumiko Takeda, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1013693183

Lidiane Fumiko Takeda, DDS is a Student in an Organized Health Care Education/Training Program in Chicago Heights, Illinois. Licensed in Illinois. Registered with an NPI since 2023.

Licensed in
IL
In the registry since
2023
Specialties on file
2
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.

See every abbreviation used in this directory →

Practice location Address checks out

567 W 14th St
Chicago Heights, IL 60411-2386
Phone: (708) 283-9800
Fax: (708) 283-9801
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019.034563 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1013693183
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 23, 2023
Last updated in NPPESAugust 3, 2023
Certification dateAugust 3, 2023

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