Provider Demographics
NPI:1609085414
Name:PIERRE, PATRICK JEAN HEN (DDS)
Entity Type:Individual
Prefix:
First Name:PATRICK
Middle Name:JEAN HEN
Last Name:PIERRE
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 S MICHIGAN AVE
Mailing Address - Street 2:SUITE 1400
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60604-2402
Mailing Address - Country:US
Mailing Address - Phone:312-939-8550
Mailing Address - Fax:312-788-3380
Practice Address - Street 1:200 S. MICHIGAN AVE
Practice Address - Street 2:SUITE 1400
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60604
Practice Address - Country:US
Practice Address - Phone:312-939-8550
Practice Address - Fax:312-788-3380
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.017347122300000X, 1223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics
No122300000XDental ProvidersDentist