Organization · Type 2 NPI
Dentistryone of Illinois PC
General Practice Dentistry · Bannockburn, IL
NPI number
1619738796
Active
Practice location
2515 Waukegan Rd # 557
Bannockburn, IL 60015-1569
Mailing address
20 Highland Ave
Metuchen, NJ 08840-1949
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | None listed |
| Pediatric Dentistry | 1223P0221X | None listed |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
About NPI 1619738796
Dentistryone of Illinois PC's National Provider Identifier is 1619738796, issued on Jan 17, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Bannockburn, IL. The record was last updated on May 2, 2025.