PROVIDENCE FAMILY DENTAL
NPI 1114178183
Dentist - General Practice in Elgin, IL

Q: What is Siri Chanthasalo, D.D.S., P.C.'s NPI number?

The NPI number for Siri Chanthasalo, D.D.S., P.C. is 1114178183. It was assigned to this organization in the NPPES registry on October 8, 2008. The provider is doing business as Providence Family Dental.

Q: What is Siri Chanthasalo, D.D.S., P.C.'s specialty?

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

Active since October 08, 2008

3091 W. ROUTE 20, #103, ELGIN, IL 60124(847) 841-1555 Get Directions Write a Review

NPPES record last updated: October 8, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Providence Family Dental NPPES

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

PROVIDENCE FAMILY DENTAL (NPI 1114178183) is a healthcare organization registered as a general practice in Elgin, Illinois and active in the NPI registry since October 2008. The organization lists Siri Chanthasalo, President, as its authorized official.

NPPES Registry Identity

NPI1114178183

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameSIRI CHANTHASALO, D.D.S., P.C.

Location Address3091 W. ROUTE 20, #103Elgin, IL 60124

Mailing Address452 Westport DrPingree Grove, IL 60140-9172 · (847) 217-7215

Phone(847) 841-1555

Organization SubpartNo

Authorized OfficialSiri ChanthasaloPresident · (847) 217-7215

Enumeration DateOctober 8, 2008

✔ NPI 1114178183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 019.025831

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.

3091 W. ROUTE 20, Elgin, IL 60124

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Other Names 1

Doing Business AsProvidence Family Dental

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.

DR. SIRI CHANTHASALO D.D.S.

Dentist (General Practice)

3091 W. ROUTE 20, #103
ELGIN, IL 60124

Kane County (847) 841-1555

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 Siri Chanthasalo, D.D.S., P.C.'s NPI number?

The NPI number for Siri Chanthasalo, D.D.S., P.C. is 1114178183. It was assigned to this organization in the NPPES registry on October 8, 2008. The provider is doing business as Providence Family Dental.

Where is Siri Chanthasalo, D.D.S., P.C. located?

Siri Chanthasalo, D.D.S., P.C. is located at 3091 W. Route 20 #103, Elgin, IL 60124. The listed phone number is (847) 841-1555.

What is Siri Chanthasalo, D.D.S., P.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Siri Chanthasalo, D.D.S., P.C. was last updated on October 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.