WICKER PARK DENTAL GROUP - NPI 1003962192

Q: What is Wicker Park Dental, Ltd's NPI number?

The NPI number for Wicker Park Dental, Ltd is 1003962192. It was assigned to this organization in the NPPES registry on January 25, 2007. The provider is doing business as Wicker Park Dental Group.

Q: What is Wicker Park Dental, Ltd's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

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About Wicker Park Dental Group NPPES

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

WICKER PARK DENTAL GROUP (NPI 1003962192) is a healthcare organization registered as a dentist in Chicago, Illinois and active in the NPI registry since January 2007. The organization lists Nidza Alicea, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1003962192

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameWICKER PARK DENTAL, LTD

Location Address1738 W NORTH AVEChicago, IL 60622

Mailing Address1738 W. North AveChicago, IL 60622 · (773) 276-5566 · Fax (773) 276-8780

Phone(773) 276-5566

Fax(773) 276-8780

Organization SubpartNo

Authorized OfficialNidza AliceaOffice Manager · (773) 235-0980

Enumeration DateJanuary 25, 2007

Last NPPES UpdateFebruary 9, 2009

✔ NPI 1003962192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 060010054

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedClinic/Center · DentalTaxonomy 261QD0000X

1738 W NORTH AVE, Chicago, IL 60622

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Other Names 1

Doing Business AsWicker Park Dental Group

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THERESA WESTFALLEN

Dentist (Orthodontics and Dentofacial Orthopedics)