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Search › Illinois › 122300000X

Nicholas Dallas, DDS

NPI 1417288648 · on the registry since 2010

Practice

Address
7345 W 25th St
North Riverside, IL 60546
Phone
(312) 274-0308
Organisation at this address
Premier Dental Clinc, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
122300000X
122300000X
Also registered as
122300000X
Licence states on file
CO, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-08-18

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