Organization · Type 2 NPI

Maple Shade Dental (dunlap) LLC

Dentist · Dunlap, IL

NPI number 1134416795 Active

Practice location

11825 State Route 40, Suite 200
Dunlap, IL 61525-8842

Fax (309) 243-9061

Mailing address

6240 Lake Osprey Dr Dept 56058
Lakewood Ranch, FL 34240-8421

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XNone listed

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1134416795

Maple Shade Dental (dunlap) LLC's National Provider Identifier is 1134416795, issued on Jul 5, 2011. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Dunlap, IL. The record was last updated on Jul 21, 2026.