THE LOOSE TOOTH PEDIATRIC DENTISTRY
NPI 1023430360
Dentist - Pediatric Dentistry in Plainfield, IL

Active since January 06, 2014
15041 S VAN DYKE RD, SUITE 105, PLAINFIELD, IL 60544(815) 267-7299 Get Directions Write a Review

NPPES record last updated: March 24, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About The Loose Tooth Pediatric Dentistry NPPES

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

THE LOOSE TOOTH PEDIATRIC DENTISTRY (NPI 1023430360) is a healthcare organization registered as a pediatric dentistry in Plainfield, Illinois and active in the NPI registry since January 2014. The organization lists Rhiannon Michelle Holcombe, Pediatric Dentist, as its authorized official.

NPPES Registry Identity

NPI1023430360
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameTHE LOOSE TOOTH PEDIATRIC DENTISTRY
Location Address15041 S VAN DYKE RD, SUITE 105Plainfield, IL 60544-5805
Mailing Address15041 S Van Dyke Rd, Suite 105Plainfield, IL 60544-5805 · (815) 267-7299 · Fax (815) 267-7511
Organization SubpartNo
Authorized OfficialRhiannon Michelle HolcombePediatric Dentist · (815) 267-7299
Enumeration DateJanuary 6, 2014
Last NPPES UpdateMarch 24, 2015
NPI 1023430360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in IL · 019027249
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
15041 S VAN DYKE RD, Plainfield, IL 60544

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.

Rehabilitation Practitioner
15041 S VAN DYKE RD, SUITE 101
PLAINFIELD, IL 60544

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 The Loose Tooth Pediatric Dentistry's NPI number?

The NPI number for The Loose Tooth Pediatric Dentistry is 1023430360. It was assigned to this organization in the NPPES registry on January 6, 2014.

Where is The Loose Tooth Pediatric Dentistry located?

The Loose Tooth Pediatric Dentistry is located at 15041 S Van Dyke Rd Suite 105, Plainfield, IL 60544. The listed phone number is (815) 267-7299.

What is The Loose Tooth Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for The Loose Tooth Pediatric Dentistry was last updated on March 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.