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THE PREVENTIVE DENTISTRY CNTR PC
NPI 1447410139
Dentist - General Practice in Chicago, IL

Active since June 16, 2008
8244 S KEDZIE AVE, CHICAGO, IL 60652(773) 445-3337(773) 445-3340 Get Directions Write a Review

NPPES record last updated: February 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About The Preventive Dentistry Cntr Pc NPPES

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

THE PREVENTIVE DENTISTRY CNTR PC (NPI 1447410139) is a healthcare organization registered as a general practice in Chicago, Illinois and active in the NPI registry since June 2008. The organization lists Jeffrey G Gordon, President, as its authorized official.

NPPES Registry Identity

NPI1447410139
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTHE PREVENTIVE DENTISTRY CNTR PC
Location Address8244 S KEDZIE AVEChicago, IL 60652-3329
Mailing AddressPo Box 29052Chicago, IL 60629-0052 · (773) 445-3337 · Fax (773) 445-3340
Phone(773) 445-3337
Fax(773) 445-3340
Organization SubpartYesParent: The Preventive Dentistry Center Pc
Authorized OfficialJeffrey G GordonPresident · (773) 445-3337
Enumeration DateJune 16, 2008
Last NPPES UpdateFebruary 18, 2022
NPPES CertifiedFebruary 18, 2022
✔ NPI 1447410139 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 · 019023383
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.
8244 S KEDZIE AVE, Chicago, IL 60652
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. JEFFREY GLEN GORDON D.D.S.
Dentist (General Practice)
8244 S KEDZIE AVE
CHICAGO, IL 60652
Cook County (773) 445-3337

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 The Preventive Dentistry Cntr PC's NPI number?

The NPI number for The Preventive Dentistry Cntr PC is 1447410139. It was assigned to this organization in the NPPES registry on June 16, 2008.

Where is The Preventive Dentistry Cntr PC located?

The Preventive Dentistry Cntr PC is located at 8244 S Kedzie Ave, Chicago, IL 60652. The listed phone number is (773) 445-3337.

What is The Preventive Dentistry Cntr PC'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 The Preventive Dentistry Cntr PC was last updated on February 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.