# CHICAGO GENERAL & DENTAL IMPLANT SPECIALISTS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dentpol Dental Specialist, Apex Oral Surgery and Dental Implant Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548019235
- **Authorized official:** GUNJAN JAIN DDS (MANAGER)
- **Authorized official phone:** (708) 860-1903

## Contact information

- **Practice address:** 7407 W IRVING PARK RD, CHICAGO, IL 60634-2139
- **Practice address phone:** (773) 625-2626
- **Practice address fax:** (773) 625-4071
- **Mailing address:** 7407 W IRVING PARK RD, CHICAGO, IL 60634-2139
- **Mailing address phone:** (773) 625-2626
- **Mailing address fax:** (773) 625-4071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 05/15/2024
- **Last updated:** 05/15/2024