DR. MARISSA LAUREN WADHWA DMD
NPI 1003794983
Dentist - General Practice in Chicago, IL

Active since August 26, 2025
1977 N MILWAUKEE AVE, CHICAGO, IL 60647(773) 840-5003 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Marissa Lauren Wadhwa Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARISSA LAUREN WADHWA DMD (NPI 1003794983) is an individual general practice provider in Chicago, Illinois, licensed in Illinois (019.036407) and active in the NPI registry since August 2025. She maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1003794983
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARISSA LAUREN WADHWACredential: DMD
Location Address1977 N MILWAUKEE AVEChicago, IL 60647-4338
Mailing Address750 N Hudson Ave Unit 1211Chicago, IL 60654-6702 · (847) 219-1945
Sole ProprietorYes
Enumeration DateAugust 26, 2025
Last NPPES UpdateSeptember 26, 2025
NPPES CertifiedSeptember 26, 2025
NPI 1003794983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IL · 019.036407
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1977 N MILWAUKEE AVE, Chicago, IL 60647

Secondary Practice Location 1

Location 16351 N Broadway St Unit AChicago, IL 60660-1401 · Phone (312) 584-0510

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Wadhwa's NPI number?

The NPI number for Marissa Wadhwa is 1003794983. It was assigned to this individual provider in the NPPES registry on August 26, 2025.

Where is Marissa Wadhwa located?

Marissa Wadhwa practices at 1977 N Milwaukee Ave, Chicago, IL 60647. The listed phone number is (773) 840-5003.

What is Marissa Wadhwa's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Marissa Wadhwa was last updated on September 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.