Individual
DR. JESSICA BEGLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
801 S PAULINA ST, CHICAGO, IL 60612-7210
(312) 996-7555
Mailing address
2445 PERRY LAKE RD, ORTONVILLE, MI 48462-9210
(248) 707-0177
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
00205502
CO
122300000X
Dentist
DEN.00205502
CO
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
00205502
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/17/2023
Last updated
06/14/2023
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