Lydia Jael Dejonge, DDS

Pediatric Dentistry · Oak Lawn, IL

Individual Active NPI

NPI number 1164042198

Practice location

6305 W 95TH St Ste 200
Oak Lawn, IL 60453-2795
Phone
(708) 424-1300

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NPI record

NPI
1164042198
Entity type
Individual (Type 1)
Enumeration date
April 20, 2020
Last updated
October 24, 2023
Certified
October 24, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Pediatric Dentistry Primary 1223P0221X 019.032838 IL
Student in an Organized Health Care Education/Training Program 390200000X — —
Pediatric Dentistry 1223P0221X 021.003285 IL

About Dr. Dejonge

Lydia Jael Dejonge, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Pediatric Dentistry (code 1223P0221X). The practice location is 6305 W 95TH St Ste 200, Oak Lawn, IL 60453-2795. The NPI number 1164042198 was assigned on April 20, 2020 and the record was last updated on October 24, 2023.

Dr. Dejonge lists 2 licenses in the registry: #019.032838 (IL) for Pediatric Dentistry; #021.003285 (IL) for Pediatric Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Lydia Jael Dejonge, DDS?

The NPI number is 1164042198.

What is the phone number of Dr. Dejonge?

The phone number listed for the practice location is (708) 424-1300.

Where is Dr. Dejonge located?

6305 W 95TH St Ste 200, Oak Lawn, IL 60453-2795.

What is the taxonomy code for Dr. Dejonge?

The primary taxonomy code is 1223P0221X – Pediatric Dentistry; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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