# FOX PEDIATRIC DENTISTRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295462802
- **Authorized official:** DR. JUSTIN J BAIK DMD (OWNER DENTIST)
- **Authorized official phone:** (847) 372-5818

## Contact information

- **Practice address:** 400 SOUTH RANDALL ROAD, SUITE F AND G, ELGIN, IL 60123
- **Practice address phone:** (847) 372-5818
- **Mailing address:** 739 W BELMONT AVE APT 416, CHICAGO, IL 60657-4561
- **Mailing address phone:** (847) 372-5818

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/03/2022
- **Last updated:** 08/03/2022