# METRO KIDZ DENTAL, 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:** 1801219308
- **Authorized official:** SCOTT GOLDMAN (PRESIDENT)
- **Authorized official phone:** (847) 987-0322

## Contact information

- **Practice address:** 2507 W CERMAK RD, CHICAGO, IL 60608-3719
- **Practice address phone:** (312) 238-9299
- **Mailing address:** 2507 W CERMAK RD, CHICAGO, IL 60608-3719

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 019027333 | IL | Yes |

## Other

- **Enumeration date:** 02/04/2014
- **Last updated:** 02/04/2014