Jefferson Park Family Dental Llc is a Dental Clinic in Chicago, Illinois. It is located at 4452 N Central Ave, Chicago, IL and its contact number is 773-777-4800. The authorized person for Jefferson Park Family Dental Llc is Mr. Robert Cory Stites
who is Insurance Coordinator-decision One of the clinic and their contact number is 630-869-5857.
Jefferson Park Family Dental Llc 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:
Jefferson Park Family Dental Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Jefferson Park Family Dental Llc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 4452 N Central Ave, Chicago,
Illinois, 60630-3302 |
| Phone: | 773-777-4800 |
| Fax: | 773-777-4918 |
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: | Mr. Robert Cory Stites |
| Position: | Insurance Coordinator-decision One |
| Contact Number: | 630-869-5857 |
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 Jefferson Park Family Dental Llc clinic are as mentioned below.
| NPI Number: | 1417528589 |
| NPI Enumeration Date: | 08 Jul, 2021 |
| NPI Last Update On: | 13 Jan, 2023 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jefferson Park Family Dental Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | | | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Jefferson Park Family Dental Llc
4452 N Central Ave,
Chicago, Illinois |
| Zip: | 60630-3302 |
| Phone Number: | 773-777-4800 |
| Fax Number: | 773-777-4918 |
Patients can reach Jefferson Park Family Dental Llc at
4452 N Central Ave, Chicago, Illinois or can
call to book an appointment on 773-777-4800.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.