1. Home
  2. Directory
  3. Illinois
  4. Long Grove
  5. Dentist
  6. NPI Profile

ASSOCIATED DENTAL SPECIALISTS OF LONG GROVE LTD
NPI 1033383567
Dentist - Pediatric Dentistry in Long Grove, IL

Active since April 16, 2008
RFD 4160, GROVE MEDICAL CENTER SUITE 308, LONG GROVE, IL 60047(847) 634-6166(846) 634-6302 Get Directions Write a Review

NPPES record last updated: April 16, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Associated Dental Specialists Of Long Grove Ltd NPPES

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

ASSOCIATED DENTAL SPECIALISTS OF LONG GROVE LTD (NPI 1033383567) is a healthcare organization registered as a pediatric dentistry in Long Grove, Illinois and active in the NPI registry since April 2008. The organization lists Mark L Cannon, President, as its authorized official.

NPPES Registry Identity

NPI1033383567
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameASSOCIATED DENTAL SPECIALISTS OF LONG GROVE LTD
Location AddressRFD 4160, GROVE MEDICAL CENTER SUITE 308Long Grove, IL 60047-9586
Mailing AddressRfd 4160, Grove Medical Center Suite 308Long Grove, IL 60047-9586 · (847) 634-6166 · Fax (846) 634-6302
Phone(847) 634-6166
Fax(846) 634-6302
Organization SubpartNo
Authorized OfficialMark L CannonPresident · (847) 634-6166
Enumeration DateApril 16, 2008
✔ NPI 1033383567 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 · 060.003411019.021533
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.

RFD 4160, Long Grove, IL 60047
Open in Google Maps ↗

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. DAVID A KANAREK M.D.
Internal Medicine
RFD 4160, SUITE 304
LONG GROVE, IL 60047
Lake County (847) 634-2090
GROVE INTERNAL MEDICINE, PC
Internal Medicine
RFD 4160, SUITE 304
LONG GROVE, IL 60047
Lake County (847) 634-2090

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 Associated Dental Specialists Of Long Grove Ltd's NPI number?

The NPI number for Associated Dental Specialists Of Long Grove Ltd is 1033383567. It was assigned to this organization in the NPPES registry on April 16, 2008.

Where is Associated Dental Specialists Of Long Grove Ltd located?

Associated Dental Specialists Of Long Grove Ltd is located at Rfd 4160 Grove Medical Center Suite 308, Long Grove, IL 60047. The listed phone number is (847) 634-6166.

What is Associated Dental Specialists Of Long Grove Ltd'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 Associated Dental Specialists Of Long Grove Ltd was last updated on April 16, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.