Clark Dental Office Ltd is a Dental Clinic in Chicago, Illinois. It is located at 6210 N Clark St, Chicago, IL and its contact number is 773-761-2020. The authorized person for Clark Dental Office Ltd is Reza Jalili Kmoshnood
who is President Dentist of the clinic and their contact number is 773-761-2020. Clark Dental Office Ltd Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Clark Dental Office Ltd Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Clark Dental Office Ltd
Specialization:
General Practice Dentistry
Clinic Address:
6210 N Clark St, Chicago, Illinois, 60660
Phone:
773-761-2020
Fax:
773-761-2072
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:
Reza Jalili Kmoshnood
Position:
President Dentist
Contact Number:
773-761-2020
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 Clark Dental Office Ltd clinic are as mentioned below.
NPI Number:
1316119993
NPI Enumeration Date:
24 Mar, 2008
NPI Last Update On:
24 Mar, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Clark Dental Office Ltd are as mentioned below.
Specialization
License Number
State
Status
General Practice
Illinois
Primary
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
1002509
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Clark Dental Office Ltd 6210 N Clark St, Chicago, Illinois
Zip:
60660
Phone Number:
773-761-2020
Fax Number:
773-761-2072
Patients can reach Clark Dental Office Ltd at 6210 N Clark St, Chicago, Illinois or can call to book an appointment on 773-761-2020. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.