MEDICARE: DYNAMIC DENTAL SERVICES, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry		IL

General Provider Information

NPI Number	:	1275670440
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DYNAMIC DENTAL SERVICES, P.C.

Provider Business Mailing Address
First Line	:	5401 S WENTWORTH AVE
Second Line	:	SUITE 200
City	:	CHICAGO
State	:	IL
Zip	:	60609-6300
Country	:	US
Telephone Number	:	773-538-6191
Fax Number	:	773-538-8683

Provider Business Practice Location Address
First Line	:	5401 S WENTWORTH AVE
Second Line	:	SUITE 200
City	:	CHICAGO
State	:	IL
Zip	:	60609-6300
Country	:	US
Telephone Number	:	773-538-6191
Fax Number	:	773-538-8683

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. WILLIAM J. WILLIAMS
Credential	:	DDS
Telephone Number	:	773-538-6191

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1275511925 — BARBARA ANN ZIMMERMAN MINNICH C.N.M.
Practice Location Address:

5401 S WENTWORTH AVE
CHICAGO, IL
60609-6300

Practice Phone: 773-288-6900
Practice Fax: 773-268-3020

1598772584 — WALGREEN CO
Practice Location Address:

5401 S WENTWORTH AVE , STE 5A1
CHICAGO, IL
60609-6300

Practice Phone: 773-268-5664
Practice Fax: 773-268-4083

1417039009 — PATRICIA BENITEZ MD
Practice Location Address:

5401 S WENTWORTH AVE
CHICAGO, IL
60609-6300

Practice Phone: 773-288-6900
Practice Fax: 773-268-3020

1275605792 — ACCESS COMMUNITY HEALTH NETWORK
Practice Location Address:

5401 S WENTWORTH AVE
CHICAGO, IL
60609-6300

Practice Phone: 773-268-6900
Practice Fax:

1992843007 — STEPHANIE R. JOHNSON O.D.
Practice Location Address:

5401 S WENTWORTH AVE STE 14B
CHICAGO, IL
60609-6300

Practice Phone: 773-924-5292
Practice Fax: 773-373-3548

1902948599 — DR. CHALICE COLEMAN D.D.S.
Practice Location Address:

5401 S WENTWORTH AVE , SUITE 200
CHICAGO, IL
60609-6300

Practice Phone: 773-548-8200
Practice Fax: 773-538-8683

Directions to “DYNAMIC DENTAL SERVICES, P.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.