Organization · Type 2 NPI

Dental Professionals of Illinois, P.c.

General Practice Dentistry · Oswego, IL

NPI number 1669092177 Active

Practice location

3419 Orchard Rd
Oswego, IL 60543-5005

Fax (331) 999-3073

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	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.

3 other providers at this address

Other general practice dentistry providers in Oswego

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NPI record

NPI: 1669092177
Entity type: Organization (Type 2)
Issued: Apr 24, 2020
Last updated: Jan 15, 2021
Status: Active
Subpart: Yes of Dental Professionals of Illinois, P.c.

Other names

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Station Side Dental Care · doing business as
Station Side Dental Care · doing business as

Authorized official

Jessica Britt
Credentialing Coordinator
(217) 540-5100

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1669092177

Dental Professionals of Illinois, P.c.'s National Provider Identifier is 1669092177, issued on Apr 24, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Oswego, IL. The record was last updated on Jan 15, 2021.