William Dejean, DDS

NPI 1770710857 · on the registry since 2009 · sole proprietor

Practice

Address: 1363 N Ashland Ave
Chicago, IL 60622
Phone: (773) 384-3885
Fax: (773) 384-0445
Organisation at this address: Dr Jacks Dental Lounge Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2009-06-16

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