LAGRANGE PARK DENTISTRY PC
NPI 1114803822
Clinic/Center - Dental in La Grange Park, IL
About Lagrange Park Dentistry Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAGRANGE PARK DENTISTRY PC (NPI 1114803822) is a healthcare organization registered as a dental in La Grange Park, Illinois and active in the NPI registry since August 2025. The organization lists Ryan Peterson, President/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Lagrange Park Dentistry PC's NPI number?
The NPI number for Lagrange Park Dentistry PC is 1114803822. It was assigned to this organization in the NPPES registry on August 15, 2025.
Where is Lagrange Park Dentistry PC located?
Lagrange Park Dentistry PC is located at 360 Sherwood Rd, La Grange Park, IL 60526. The listed phone number is (708) 354-7363.
What is Lagrange Park Dentistry PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
When was this NPI record last updated?
The NPPES record for Lagrange Park Dentistry PC was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
