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SERETIS DENTAL LLC
NPI 1063927176
Dentist - General Practice in Bourbonnais, IL

Active since December 12, 2017
1501 N STATE ROUTE 50, BOURBONNAIS, IL 60914(815) 933-7779 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 21, 2023, Dec 12, 2017 (2 updates tracked since 2017).

About Seretis Dental Llc NPPES

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

SERETIS DENTAL LLC (NPI 1063927176) is a healthcare organization registered as a general practice in Bourbonnais, Illinois and active in the NPI registry since December 2017. The organization lists Thomas Seretis, Owner, as its authorized official.

NPPES Registry Identity

NPI1063927176
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSERETIS DENTAL LLC
Location Address1501 N STATE ROUTE 50Bourbonnais, IL 60914-4429
Mailing AddressPo Box 70887Cleveland, OH 44190-0887
Phone(815) 933-7779
Organization SubpartNo
Authorized OfficialThomas SeretisOwner · (815) 933-7779
Enumeration DateDecember 12, 2017
Last NPPES UpdateJune 21, 20232 updates tracked since enumeration
NPPES CertifiedJune 21, 2023
✔ NPI 1063927176 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.
1501 N STATE ROUTE 50, Bourbonnais, IL 60914
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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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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.

DANOS DENTAL, PLLC
Dentist (General Practice)
1501 N STATE ROUTE 50
BOURBONNAIS, IL 60914
Kankakee County (815) 933-7779
DR. BARTLOMIEJ D LAKOMY DDS
Dentist
1501 N STATE ROUTE 50
BOURBONNAIS, IL 60914
Kankakee County (815) 933-7779

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 Seretis Dental LLC's NPI number?

The NPI number for Seretis Dental LLC is 1063927176. It was assigned to this organization in the NPPES registry on December 12, 2017.

Where is Seretis Dental LLC located?

Seretis Dental LLC is located at 1501 N State Route 50, Bourbonnais, IL 60914. The listed phone number is (815) 933-7779.

What is Seretis Dental LLC's specialty?

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

What insurance does Seretis Dental LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Seretis Dental LLC 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 Seretis Dental LLC was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.