SearchIllinoisPediatric Dentistry

Lydia Dejonge, DDS

NPI 1164042198 · on the registry since 2020 · sole proprietor

Practice

Address
6305 W 95th St Ste 200
Oak Lawn, IL 60453
Phone
(708) 424-1300
Organisation at this address
Tom Trikolas Dds Pc
Southwest Oral Surgeons,P.C.
Pediatric Dental Specialists
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
Pediatric Dentistry
1223P0221X
Also registered as
Student in an Organized Health Care Education/Training Program
Pediatric Dentistry
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-10-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois