DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROFESSIONAL DENTAL ALLIANCE OF GROVE DENTAL LLC

Active Organization

PROFESSIONAL DENTAL ALLIANCE OF GROVE DENTAL LLC is a Dental Clinic organization located in BOLINGBROOK, Illinois. NPI 1417583592 is currently active in the NPPES registry. Verify at CMS.

Dental Clinic · BOLINGBROOK, IL

Registration Details

NPI Number
1417583592
Provider Type
Organization
NPI Issued
Mar 20, 2020 (6.4362978391063 yrs)
Last Updated
Apr 29, 2021

Practice Information

Address
160 E BOUGHTON RD
BOLINGBROOK, IL, 604402014
Browse IL providers · Browse ZIP 60440
Phone
6307598940
Primary Specialty
Dental Clinic
261QD0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.