# JERRY E UDELSON, DDS, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Little Teeth Big Smiles & Children's Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881885127
- **Authorized official:** DR. JERRY E UDELSON DDS (PRESIDENT)
- **Authorized official phone:** (708) 386-5437

## Contact information

- **Practice address:** 1125 HARLEM AVE, FOREST PARK, IL 60130-2337
- **Practice address phone:** (708) 386-5437
- **Practice address fax:** (708) 771-5439
- **Mailing address:** 1125 HARLEM AVE, FOREST PARK, IL 60130-2337
- **Mailing address phone:** (708) 386-5437
- **Mailing address fax:** (708) 771-5439

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 021001495 | IL | Yes |

## Other

- **Enumeration date:** 08/01/2007
- **Last updated:** 07/17/2024