Organization · Type 2 NPI

Dental Professionals of Illinois, P.c

Orthodontics and Dentofacial Orthopedics Dentistry · Joliet, IL

NPI number 1851971642 Active

Practice location

1526 Il Route 59
Joliet, IL 60431-8215

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry	1223G0001X	None listed
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	None listed

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

Another provider at this address

Manal Ibrahim, DDSOrthodontics and Dentofacial Orthopedics Dentistry Joliet, IL NPI 1730256025

Other orthodontics and dentofacial orthopedics dentistry providers in Joliet

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NPI record

NPI: 1851971642
Entity type: Organization (Type 2)
Issued: Apr 14, 2021
Last updated: Jun 14, 2023
Status: Active
Subpart: Yes of Dental Professionals of Illinois, P.c.

Other names

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Innovative Dental Care of Shorewood · doing business as

Authorized official

Belinda Huerta
Credentialing Coordinator
(217) 540-2100

Verify this record

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 1851971642

Dental Professionals of Illinois, P.c's National Provider Identifier is 1851971642, issued on Apr 14, 2021. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Joliet, IL. The record was last updated on Jun 14, 2023.