IndividualActive
Destenii Thomas Anderson, RDH
NPI 1942808407 · Dental Hygienist · Chicago, IL
Provider details
- NPI number
- 1942808407
- Entity type
- Individual
- Primary specialty
- Dental HygienistDental Providers
- Credential
- RDH
- Sex
- Female
- Sole proprietor
- No
- License
- 020015899 (IL)
Specialties & taxonomies
Dental Providers
Practice location
4259 S Berkeley Ave
Chicago, IL 60653-3030
Phone: (773) 268-7600
Approximate (ZIP-level) locationGet directions
Mailing address
4259 S Berkeley Ave
Chicago, IL 60653-3030
Registry dates
- Enumerated
- 2020-10-15
- Last updated
- 2020-10-15
- Certified
- 2020-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.