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ADDISON DENTAL
NPI 1073954723
Dentist - Oral and Maxillofacial Surgery in Addison, IL

Active since July 10, 2013
1201 W ARMY TRAIL BLVD, SUITE 2, ADDISON, IL 60101(630) 543-8688(630) 543-8692 Get Directions Write a Review

NPPES record last updated: July 10, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Addison Dental NPPES

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

ADDISON DENTAL (NPI 1073954723) is a healthcare organization registered as an oral and maxillofacial surgery in Addison, Illinois and active in the NPI registry since July 2013. The organization lists Lawrence Groh, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1073954723
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameELMHURST DENTAL GROUP, LTD
Location Address1201 W ARMY TRAIL BLVD, SUITE 2Addison, IL 60101-3152
Mailing Address333 W 1st StElmhurst, IL 60126-2641 · (630) 833-5110 · Fax (630) 833-0458
Phone(630) 543-8688
Fax(630) 543-8692
Organization SubpartNo
Authorized OfficialLawrence GrohOwner/president · (630) 833-5110
Enumeration DateJuly 10, 2013
✔ NPI 1073954723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in IL · 019014858
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1201 W ARMY TRAIL BLVD, Addison, IL 60101
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Other Names 1

Doing Business AsAddison Dental

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.

RICARDO MARTINEZ, MD, PC
Family Medicine
1201 W ARMY TRAIL BLVD
ADDISON, IL 60101
Dupage County (630) 458-9200
DR. MICHAEL WALTER NABOROWSKI D.D.S.
Specialist
1201 W ARMY TRAIL BLVD
ADDISON, IL 60101
Dupage County (630) 543-5051

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 Elmhurst Dental Group, Ltd's NPI number?

The NPI number for Elmhurst Dental Group, Ltd is 1073954723. It was assigned to this organization in the NPPES registry on July 10, 2013. The provider is doing business as Addison Dental.

Where is Elmhurst Dental Group, Ltd located?

Elmhurst Dental Group, Ltd is located at 1201 W Army Trail Blvd Suite 2, Addison, IL 60101. The listed phone number is (630) 543-8688.

What is Elmhurst Dental Group, Ltd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Elmhurst Dental Group, Ltd was last updated on July 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.