Zachary Jordan Tilden, D.M.D.
Dentist, General Practice in Chicago, IL. Individual provider (NPI-1).
NPI number1205286366
StatusActive
Last updated in NPPESJun 20, 2016
Details
- NPI
- 1205286366
- Entity type
- Individual (NPI-1)
- Name
- Zachary Jordan Tilden
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2016
- Last updated
- Jun 20, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 019030714 | IL | Yes |
Practice location
331 E Ontario StChicago, IL 60611-3022
Phone 312-664-6616
Mailing address
331 E Ontario StChicago, IL 60611-3022
Phone 312-664-6616
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