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LAGRANGE DENTAL MANAGEMENT
NPI 1013151901
Dentist - General Practice in La Grange Park, IL

Active since April 23, 2009
342 SHERWOOD RD, LA GRANGE PARK, IL 60526(708) 482-4610(708) 482-0246 Get Directions Write a Review

NPPES record last updated: April 23, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lagrange Dental Management NPPES

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

LAGRANGE DENTAL MANAGEMENT (NPI 1013151901) is a healthcare organization registered as a general practice in La Grange Park, Illinois and active in the NPI registry since April 2009. The organization lists Jonathan Villanueva, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1013151901
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameLAGRANGE DENTAL MANAGEMENT
Location Address342 SHERWOOD RDLa Grange Park, IL 60526-1967
Mailing Address342 Sherwood RdLa Grange Park, IL 60526-1967 · (708) 482-4610 · Fax (708) 482-0246
Phone(708) 482-4610
Fax(708) 482-0246
Organization SubpartNo
Authorized OfficialJonathan VillanuevaPractice Manager · (630) 324-6749
Enumeration DateApril 23, 2009
✔ NPI 1013151901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019022779
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.
342 SHERWOOD RD, La Grange Park, IL 60526
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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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALBERT A. DIEPSTRA D.D.S.
Dentist (General Practice)
342 SHERWOOD RD
LA GRANGE PARK, IL 60526
Cook County (708) 482-4610

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 Lagrange Dental Management's NPI number?

The NPI number for Lagrange Dental Management is 1013151901. It was assigned to this organization in the NPPES registry on April 23, 2009.

Where is Lagrange Dental Management located?

Lagrange Dental Management is located at 342 Sherwood Rd, La Grange Park, IL 60526. The listed phone number is (708) 482-4610.

What is Lagrange Dental Management's specialty?

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

When was this NPI record last updated?

The NPPES record for Lagrange Dental Management was last updated on April 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.