# PEDIATRIC DENTAL ASSOCIATES, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1407446081
- **Authorized official:** GEORGE LIN DDS (PRESIDENT)
- **Authorized official phone:** (847) 537-7695

## Contact information

- **Practice address:** 950 N. NORTHWEST HIGHWAY SUITE 102, PARK RIDGE, IL 60068
- **Practice address phone:** (847) 861-7695
- **Mailing address:** 195 N. ARLINGTON HEIGHTS RD., SUITE 150, BUFFALO GROVE, IL 60089
- **Mailing address phone:** (847) 537-7695

## Taxonomy

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

## Other

- **Enumeration date:** 01/19/2021
- **Last updated:** 01/19/2021
