Whalio Doctors

NPI 1063895357

David Dardick, DMD

Practitioner General Practice Dentistry Olympia Fields, IL

Practice location

Address
20180 Governors Hwy STE 104, Olympia Fields, IL 60461
Phone
(804) 201-5540
Mailing address
20180 Governors Hwy STE 104, Olympia Fields, IL 60461-1065

Registered specialties (2)

General Practice Dentistry Primary
Dental Providers Taxonomy 1223G0001X Licence 019.032385 (IL)
General Practice Dentistry
Dental Providers Taxonomy 1223G0001X Licence 10056 (NC)

Registry record

NPI
1063895357
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Jul 2015
Record last updated
7 Oct 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.