Mt. Greenwood Dental Clinic is a Dental Clinic in Chicago, Illinois. It is located at 3135 W 111th St, Chicago, IL and its contact number is 773-238-4451. The authorized person for Mt. Greenwood Dental Clinic is Dr. Kenneth Brocker
who is Owner of the clinic and their contact number is 773-238-4451. The primary license number for Mt. Greenwood Dental Clinic is 019016104 (Dentist) in Illinois.
Mt. Greenwood Dental Clinic 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:
Mt. Greenwood Dental Clinic Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Mt. Greenwood Dental Clinic |
| Specialization: | Dentistry |
| Clinic Address: | 3135 W 111th St, Chicago,
Illinois, 60655-2223 |
| Phone: | 773-238-4451 |
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. Kenneth Brocker |
| Position: | Owner |
| Contact Number: | 773-238-4451 |
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 Mt. Greenwood Dental Clinic clinic are as mentioned below.
| NPI Number: | 1558637926 |
| NPI Enumeration Date: | 29 Mar, 2012 |
| NPI Last Update On: | 29 Mar, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mt. Greenwood Dental Clinic are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | 019016104 | 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: | Mt. Greenwood Dental Clinic
3135 W 111th St,
Chicago, Illinois |
| Zip: | 60655-2223 |
| Phone Number: | -- |
Patients can reach Mt. Greenwood Dental Clinic at
3135 W 111th St, Chicago, Illinois or can
call to book an appointment on 773-238-4451.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.