Organization · Type 2 NPI

Shady Oak Dental - Byron Dental LLC

Dental Clinic/Center · Byron, IL

NPI number 1871463760 Active

Practice location

503 W Blackhawk Dr
Byron, IL 61010-9647

Mailing address

1342 S Harlem Ave
Freeport, IL 61032-6231

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1871463760

Shady Oak Dental - Byron Dental LLC's National Provider Identifier is 1871463760, issued on Nov 6, 2025. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Byron, IL. The record was last updated on Nov 6, 2025.