# CHILDREN'S & ADOLESCENT DENTISTRY, LTD

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CHILDREN'S & ADOLESCENT DENTISTRY, LTD
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1396917993
- **Legal business name:** CHILDREN'S & ADOLESCENT DENTISTRY, LTD
- **Authorized official:** DR. LEO MORTON D.D.S. (VICE PRESIDENT)
- **Authorized official phone:** (847) 885-1095

## Contact information

- **Practice address:** 2500 W HIGGINS RD, SUITE 660, HOFFMAN ESTATES, IL 60169-7220
- **Practice address phone:** (847) 885-1095
- **Mailing address:** 2500 W HIGGINS RD, SUITE 660, HOFFMAN ESTATES, IL 60169-7220
- **Mailing address phone:** (847) 885-1095

## Taxonomy

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

## Other

- **Enumeration date:** 03/24/2008
- **Last updated:** 03/24/2008