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ERIE DENTAL HEALTH CENTER
NPI 1235250119
Clinic/Center - Dental in Chicago, IL

Active since April 02, 2007
4751 N KEDZIE AVE, CHICAGO, IL 60625(773) 279-2947 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Dental

About ERIE DENTAL HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Erie Dental Health Center, a provider established in Chicago, Illinois operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1235250119 assigned on April 2007. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. Lee Francis Md (Medical Director Interim Ceo)

NPI
1235250119 Verify this NPI
Provider Name
ERIE DENTAL HEALTH CENTER
Entity Type
Organization
Location Address
4751 N KEDZIE AVE CHICAGO, IL 60625
Location Phone
(773) 279-2947
Mailing Address
1701 W SUPERIOR ST CHICAGO, IL 60622
Mailing Phone
(312) 666-3494
Mailing Fax
(312) 666-0610
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-02-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. LEE FRANCIS MD

Authorized Official Title
MEDICAL DIRECTOR INTERIM CEO
Authorized Official Phone
(312) 432-7394

Reviews for ERIE DENTAL HEALTH CENTER

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

DR. LISA KATHERINE KEARNEY DDS
Dentist
4751 N KEDZIE AVE, 2ND FLOOR
CHICAGO, IL 60625
Cook County (312) 432-4360

Frequently Asked Questions

What is ERIE DENTAL HEALTH CENTER's NPI number?

The NPI number assigned to this healthcare provider is 1235250119, enumerated as an "organization" on April 02, 2007.

Where is the provider located?

The provider is located at 4751 N KEDZIE AVE CHICAGO, IL 60625 and the phone number is (773) 279-2947.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.