# PEDIATRIC DENTAL ASSOCIATES PC

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

## Provider details

- **NPI number:** 1467462622
- **Authorized official:** DR. FRED S MARGOLIS DDS (DENTIST OWNER)
- **Authorized official phone:** (847) 537-1695

## Contact information

- **Practice address:** 195 ARLINGTON HTS RD, ST 150, BUFFALO GROVE, IL 60089
- **Practice address phone:** (847) 537-7695
- **Practice address fax:** (847) 537-6758
- **Mailing address:** 195 ARLINGTON HTS RD, ST 150, BUFFALO GROVE, IL 60089
- **Mailing address phone:** (847) 537-7695
- **Mailing address fax:** (847) 537-6758

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | IL | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | IL | Yes |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 09/11/2025
