Organization · Type 2 NPI
Lagrange Park Dentistry PC
Dental Clinic/Center · La Grange Park, IL
NPI number
1114803822
Active
Practice location
360 Sherwood Rd
La Grange Park, IL 60526-1967
Mailing address
5924 Tyler Dr
Woodridge, IL 60517-1007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
3 other providers at this address
About NPI 1114803822
Lagrange Park Dentistry PC's National Provider Identifier is 1114803822, issued on Aug 15, 2025. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in La Grange Park, IL. The record was last updated on Aug 15, 2025.