Organization
LINCOLN PARK DENTAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DEDE LUSH RDH (MANAGER)
(773) 327-3131
Entity
Organization
Contact information
Practice address
1960 N LINCOLN PARK W, 2ND FLOOR, CHICAGO, IL 60614-5487
(773) 327-3131
(773) 327-3208
Mailing address
1960 N LINCOLN PARK W, 2ND FLOOR, CHICAGO, IL 60614-5487
(773) 327-3131
(773) 327-3208
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223P0300X
Periodontics
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
04/19/2007
Last updated
09/11/2025
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