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PEDERSEN DENTAL GROUP LTD.
NPI 1841547270
Dentist in Chicago, IL

Active since August 03, 2012
6044 N AVONDALE AVE, CHICAGO, IL 60631(773) 544-3512(773) 887-5802 Get Directions Write a Review

NPPES record last updated: August 3, 2012. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Pedersen Dental Group Ltd. NPPES

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

PEDERSEN DENTAL GROUP LTD. (NPI 1841547270) is a healthcare organization registered as a dentist in Chicago, Illinois and active in the NPI registry since August 2012. The organization lists Fonda R Pedersen, President, as its authorized official.

NPPES Registry Identity

NPI1841547270
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NamePEDERSEN DENTAL GROUP LTD.
Location Address6044 N AVONDALE AVEChicago, IL 60631-3114
Mailing Address6044 N Avondale AveChicago, IL 60631-3114 · (773) 544-3512 · Fax (773) 887-5802
Phone(773) 544-3512
Fax(773) 887-5802
Organization SubpartNo
Authorized OfficialFonda R PedersenPresident · (773) 544-3512
Enumeration DateAugust 3, 2012
✔ NPI 1841547270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019021209
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.
6044 N AVONDALE AVE, Chicago, IL 60631
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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. MAURA ELIZABETH PARKER DDS
Dentist (General Practice)
6044 N AVONDALE AVE
CHICAGO, IL 60631
Cook County (773) 763-1600

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 Pedersen Dental Group Ltd.'s NPI number?

The NPI number for Pedersen Dental Group Ltd. is 1841547270. It was assigned to this organization in the NPPES registry on August 3, 2012.

Where is Pedersen Dental Group Ltd. located?

Pedersen Dental Group Ltd. is located at 6044 N Avondale Ave, Chicago, IL 60631. The listed phone number is (773) 544-3512.

What is Pedersen Dental Group Ltd.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Pedersen Dental Group Ltd. was last updated on August 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.