Avenue Dental Clinic & Lab is a Dental Clinic in Chicago, Illinois. It is located at 3518 W Fullerton Ave, Chicago, IL and its contact number is 773-278-0334. The authorized person for Avenue Dental Clinic & Lab is Dr. Silvio J Camodeca
who is Owner of the clinic and their contact number is 773-278-0334. The primary license number for Avenue Dental Clinic & Lab is 019015351 (Dentist) in Illinois. Avenue Dental Clinic & Lab Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Avenue Dental Clinic & Lab Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Avenue Dental Clinic & Lab
Specialization:
Dentistry
Clinic Address:
3518 W Fullerton Ave, Chicago, Illinois, 60647
Phone:
773-278-0334
Fax:
773-365-0314
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Silvio J Camodeca
Position:
Owner
Contact Number:
773-278-0334
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Avenue Dental Clinic & Lab clinic are as mentioned below.
NPI Number:
1740268416
NPI Enumeration Date:
04 Jan, 2006
NPI Last Update On:
30 Aug, 2007
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Avenue Dental Clinic & Lab are as mentioned below.
Specialization
License Number
State
Status
Dentist
019015351
Illinois
Primary
Dentist
12010C12A
Indiana
Secondary
Naturopath
NAT1000255
District Of Columbia
Secondary
Neuromusculoskeletal Medicine & Omm
181000299
Illinois
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
NAT1000255
Other
District Of Columbia
Naturopathy
12010612A
Other
Indiana
Dentistry
019015351
Other
Illinois
Dentistry
181000299
Other
Illinois
Naprapath
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Patients can reach Avenue Dental Clinic & Lab at 3518 W Fullerton Ave, Chicago, Illinois or can call to book an appointment on 773-278-0334. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.