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LAGRANGE PERIODONTICS, LTD
NPI 1023175775
Dentist - Periodontics in Countryside, IL

Active since January 02, 2007
6520 JOLIET RD, COUNTRYSIDE, IL 60525(708) 354-4545(708) 354-0336 Get Directions Write a Review

NPPES record last updated: October 30, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Oct 30, 2019, Aug 11, 2018 (2 updates tracked since 2018).

About Lagrange Periodontics, Ltd NPPES

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

LAGRANGE PERIODONTICS, LTD (NPI 1023175775) is a healthcare organization registered as a periodontics in Countryside, Illinois and active in the NPI registry since January 2007. The organization lists Michelle P Jennings, President/periodontist, as its authorized official.

NPPES Registry Identity

NPI1023175775
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameLAGRANGE PERIODONTICS, LTD
Location Address6520 JOLIET RDCountryside, IL 60525
Mailing Address6520 Joliet RdCountryside, IL 60525-4649 · (708) 354-4545 · Fax (708) 354-0336
Phone(708) 354-4545
Fax(708) 354-0336
Organization SubpartNo
Authorized OfficialMichelle P JenningsPresident/periodontist · (708) 354-4545
Enumeration DateJanuary 2, 2007
Last NPPES UpdateOctober 30, 20192 updates tracked since enumeration
✔ NPI 1023175775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Licenses✔ Licensed in IL · 21001561✔ Licensed in IL · 21001423
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
6520 JOLIET RD, Countryside, IL 60525
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. MICHELLE P JENNINGS DDS
Dentist (Periodontics)
6520 JOLIET RD
COUNTRYSIDE, IL 60525
Cook County (708) 354-4545
LAGRANGE PERIO LLC
Dentist (Periodontics)
6520 JOLIET RD
COUNTRYSIDE, IL 60525
Cook County (708) 354-4545

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 Periodontics, Ltd's NPI number?

The NPI number for Lagrange Periodontics, Ltd is 1023175775. It was assigned to this organization in the NPPES registry on January 2, 2007.

Where is Lagrange Periodontics, Ltd located?

Lagrange Periodontics, Ltd is located at 6520 Joliet Rd, Countryside, IL 60525. The listed phone number is (708) 354-4545.

What is Lagrange Periodontics, Ltd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Lagrange Periodontics, Ltd was last updated on October 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.