Healthcare Provider Details

I. General information

NPI: 1154225985
Provider Name (Legal Business Name): A. BESSE, DDS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2210 N CLARK ST
CHICAGO IL
60614-3855
US

IV. Provider business mailing address

433 W BRIAR PL APT 1C
CHICAGO IL
60657-9404
US

V. Phone/Fax

Practice location:
  • Phone: 773-717-7505
  • Fax: 773-717-7502
Mailing address:
  • Phone: 513-687-9086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. ANTHONY BESSE
Title or Position: DENTIST
Credential: DDS
Phone: 513-687-9086