Periodontics & Dental Implant Center Ltd is a Periodontology Clinic in Chicago, Illinois. It is located at 1900 W 47th St, Chicago, IL and its contact number is 773-847-9004. The authorized person for Periodontics & Dental Implant Center Ltd is Amjod Aldollal
who is President of the clinic and their contact number is 773-847-9004. The primary license number for Periodontics & Dental Implant Center Ltd is 019028531 (Periodontics) in Illinois. Periodontics & Dental Implant Center Ltd Clinic is specialized in that branch of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
Complete Clinic Profile:
Periodontics & Dental Implant Center Ltd Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Periodontics & Dental Implant Center Ltd
Specialization:
Periodontology
Clinic Address:
1900 W 47th St, Chicago, Illinois, 60609-3833
Phone:
773-847-9004
Fax:
773-847-9008
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:
Amjod Aldollal
Position:
President
Contact Number:
773-847-9004
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 Periodontics & Dental Implant Center Ltd clinic are as mentioned below.
NPI Number:
1275874182
NPI Enumeration Date:
04 Mar, 2013
NPI Last Update On:
04 Mar, 2013
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Periodontics & Dental Implant Center Ltd are as mentioned below.
Specialization
License Number
State
Status
Periodontics
019028531
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
019028531
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:
Periodontics & Dental Implant Center Ltd 1900 W 47th St, Chicago, Illinois
Zip:
60609-3833
Phone Number:
773-847-9004
Fax Number:
773-847-9008
Patients can reach Periodontics & Dental Implant Center Ltd at 1900 W 47th St, Chicago, Illinois or can call to book an appointment on 773-847-9004. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.