DR. JERRY UDELSON (DDS) – Pediatric Dentistry, NPI 1013134154

DR. JERRY UDELSON (DDS) is a healthcare provider. based in Forest park, Illinois. specializing in Pediatric Dentistry. They hold the professional credentials DDS. They hold a License No. 021-001495 (IL). The NPI Number for DR. JERRY UDELSON (DDS) is 1013134154

Main info

Male
Sole Proprietor
Name
DR. JERRY UDELSON (DDS)
NPI
1013134154
Phone
(708) 386-5437
Address
1129 HARLEM AVE
Enumeration Date
19 April 2007
Last Update Date
17 July 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. JERRY UDELSON (DDS)

  • 1129 HARLEM AVE

    FOREST PARK, IL 601302381

    Phone: (708) 386-5437

    Fax: (708) 771-5439

    Type: Mailing

  • 323 N York St

    Elmhurst, IL 601262319

    Phone: (630) 833-1166

    Fax: (630) 833-1103

    Type: Location

  • 1125 HARLEM AVE

    FOREST PARK, IL 601302337

    Phone: (708) 386-5437

    Fax: (708) 771-5439

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $606.

Total Amount is formed as General ($606) + Research ($0) + Ownership ($0) = $606.

Last reported payment date: 2024-12-27 • Largest payer in this snapshot: Hu-Friedy Mfg. Co., LLC ($315).

Total Amount

$606

General + Research + Ownership

Payments

14

Total payment records

General Amount

$606

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-27

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60130)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. JERRY UDELSON (DDS)?
DR. JERRY UDELSON (DDS) — NPI 1013134154 — is the standard way to identify this listing.
Does CMS list DR. JERRY UDELSON (DDS) as active?
Yes — DR. JERRY UDELSON (DDS) is active in the NPI listing used on this page.
What is DR. JERRY UDELSON (DDS)'s primary classification?
Pediatric Dentistry is the headline specialty for DR. JERRY UDELSON (DDS) here. Clinical services aligned with this taxonomy classification.
Where should I expect DR. JERRY UDELSON (DDS) on a map?
Expect Forest Park, Illinois as a primary anchor for DR. JERRY UDELSON (DDS) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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