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

Lydia Jael Dejonge, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164042198

Lydia Jael Dejonge, DDS is a Student in an Organized Health Care Education/Training Program in Oak Lawn, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
Specialties on file
3
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 →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

6305 W 95th St Ste 200
Oak Lawn, IL 60453-2795
Phone: (708) 424-1300
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 019.032838 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Pediatric Dentistry Taxonomy 1223P0221X · Licence 021.003285 (IL)

Record details

NPI number1164042198
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedApril 20, 2020
Last updated in NPPESOctober 24, 2023
Certification dateOctober 24, 2023
Mailing address6305 W 95th St Ste 200, Oak Lawn, IL 60453-2795

Other providers in Oak Lawn