PROFESSIONAL DENTAL SPECIALTIES NPI 1417757915

NPI Information

  • NPI: 1417757915
  • Provider Name: PROFESSIONAL DENTAL SPECIALTIES
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Address: 1900 SPRING RD STE 205
    OAK BROOK, IL
    ZIP 60523
  • Phone: (630) 573-0369

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NPI Details

PROFESSIONAL DENTAL SPECIALTIES is a periodontics dentist in Oak Brook, IL. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. PROFESSIONAL DENTAL SPECIALTIES NPI is 1417757915. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1900 SPRING RD STE 205
OAK BROOK, IL
ZIP 60523-479
Phone: (630) 573-0369

The provider's authorized official is Amanda Piche .
The authorized official title is Owner and has the following contact phone number (319) 389-7177.

The enumeration date for this NPI number is 3/14/2025 and was last updated on 3/14/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223P0300XDentistPeriodonticsYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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