Jerry E Udelson, Dds, Pc in Forest Park - Pediatric Dentistry
Jerry E Udelson, Dds, Pc - NPI 1881885127
Jerry E Udelson, Dds, Pc is a Pediatric Dentistry in Forest Park, Illinois. Jerry E Udelson, Dds, Pc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Jerry E Udelson, Dds, Pc is 1881885127. The last update date is 2007-08-01.
Jerry E Udelson, Dds, Pc's current location address is 1129 Harlem Ave, Forest Park, Illinois. You can contact this provider via phone number 7083865437 and fax number 7087715439. The mailing address for Jerry E Udelson, Dds, Pc is 1129 Harlem Ave, Forest Park, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jerry E Udelson, Dds, Pc |
|---|---|
| Address | 1129 Harlem Ave, Forest Park, Illinois |
| Phone Number | 7083865437 |
| Fax Number | 7087715439 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Udelson E Jerry |
| Credentials | DDS |
| Telephone Number | 7083865437 |
NPI Number Detail
| NPI Number | 1881885127 |
|---|---|
| Provider Enumeration Date | 2007-08-01 |
| Last Updated Date | 2007-08-01 |
Provider Mailing Address Detail
| Address | 1129 Harlem Ave |
|---|---|
| City | Forest Park |
| State | Illinois (IL) |
| Post Code | 601302381 |
| Phone Number | 7083865437 |
| Fax Number | 7087715439 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jerry E Udelson, Dds, Pc by the Centers for Medicare & Medicaid Services?
The Jerry E Udelson, Dds, Pc has been assigned the NPI (National Provider Identifier) 1881885127 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Jerry E Udelson, Dds, Pc?
The Jerry E Udelson, Dds, Pc is situated at 1129 Harlem Ave, in the city of Forest Park, state of IL, with the zip code 601302381.
What is the area of specialization for Jerry E Udelson, Dds, Pc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jerry E Udelson, Dds, Pc is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1881885127 to Jerry E Udelson, Dds, Pc?
The Centers for Medicare & Medicaid Services originally issued the 1881885127 to Jerry E Udelson, Dds, Pc on 2007-08-01.
When was the information regarding Jerry E Udelson, Dds, Pc most recently updated?
The details pertaining to the Jerry E Udelson, Dds, Pc, including its address, specialty, and other relevant information, were last refreshed on 2007-08-01.
NPI Number: 1467434399
Address: 6502 Nursery Dr. Suite 100, Victoria, TX