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DOUGLAS DENTAL CENTER
NPI 1013120005
Dentist - General Practice in Waukegan, IL

Active since May 07, 2007
2605A GRAND AVE, WAUKEGAN, IL 60085(847) 244-7779 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Douglas Dental Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOUGLAS DENTAL CENTER (NPI 1013120005) is a healthcare organization registered as a general practice in Waukegan, Illinois and active in the NPI registry since May 2007. The organization lists Ajitha Paruchuri, President, as its authorized official.

NPPES Registry Identity

NPI1013120005
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePA DENTAL INCORPORATED
Location Address2605A GRAND AVEWaukegan, IL 60085-2410
Mailing Address2605a Grand AveWaukegan, IL 60085-2410 · (847) 244-7779
Phone(847) 244-7779
Organization SubpartNo
Authorized OfficialAjitha ParuchuriPresident · (630) 229-5469
Enumeration DateMay 7, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1013120005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2605A GRAND AVE, Waukegan, IL 60085
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Other Names 1

Doing Business AsDouglas Dental Center

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is PA Dental Incorporated's NPI number?

The NPI number for PA Dental Incorporated is 1013120005. It was assigned to this organization in the NPPES registry on May 7, 2007. The provider is doing business as Douglas Dental Center.

Where is PA Dental Incorporated located?

PA Dental Incorporated is located at 2605A Grand Ave, Waukegan, IL 60085. The listed phone number is (847) 244-7779.

What is PA Dental Incorporated's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does PA Dental Incorporated accept?

Health plans from UnitedHealthcare list PA Dental Incorporated as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for PA Dental Incorporated was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.