Modern Dental Of Logan Square Llc is a Dental Clinic in Chicago, Illinois. It is located at 2645 N Milwaukee, Chicago, IL and its contact number is 773-717-5509. The authorized person for Modern Dental Of Logan Square Llc is Phillip Palella
who is Owner of the clinic and their contact number is 773-489-5700. The primary license number for Modern Dental Of Logan Square Llc is 019026403 (General Practice) in Illinois.
Modern Dental Of Logan Square 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:
Modern Dental Of Logan Square Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Modern Dental Of Logan Square Llc |
| Specialization: | General Practice Dentistry |
| Clinic Address: | 2645 N Milwaukee, Chicago,
Illinois, 60647 |
| Phone: | 773-717-5509 |
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: | Phillip Palella |
| Position: | Owner |
| Contact Number: | 773-489-5700 |
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 Modern Dental Of Logan Square Llc clinic are as mentioned below.
| NPI Number: | 1639625437 |
| NPI Enumeration Date: | 31 Aug, 2016 |
| NPI Last Update On: | 31 Aug, 2016 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Modern Dental Of Logan Square Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| General Practice | 019026403 | Illinois | 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: | Modern Dental Of Logan Square Llc
2037 W Division,
Chicago, Illinois |
| Zip: | 60622 |
| Phone Number: | 773-489-5700 |
Patients can reach Modern Dental Of Logan Square Llc at
2645 N Milwaukee, Chicago, Illinois or can
call to book an appointment on 773-717-5509.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.