Individual provider · Type 1 NPI

Ted Gordon Greenlee, DDS

Dentist · Loves Park, IL

NPI number 1861550287 Active

Practice location

2028 E Riverside Blvd, Suite 200
Loves Park, IL 61111-4804

Call (815) 282-5300 Map

Fax (815) 282-5306

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XNone listed
General Practice Dentistry 1223G0001XNone 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 1861550287

Ted Gordon Greenlee, DDS's National Provider Identifier is 1861550287, issued on Dec 5, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Loves Park, IL. The record was last updated on Sep 11, 2025.