Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAPLE SHADE DENTAL GROUP
Active OrganizationMAPLE SHADE DENTAL GROUP is a Oral & Maxillofacial Surgery organization located in DUNLAP, Illinois. NPI 1427116854 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · DUNLAP, IL
Registration Details
- NPI Number
- 1427116854
- Provider Type
- Organization
- NPI Issued
- Dec 5, 2006 (19.509898136343 yrs)
- Last Updated
- Sep 11, 2025
Practice Information
- Address
-
11825 N KNOXVILLE AVEDUNLAP, IL, 61525Browse IL providers · Browse ZIP 61525
- Phone
- 3092437702
- Fax
- 3092439559
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Periodontology
- Additional Specialty
- Oral & Maxillofacial Surgery
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.