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

OSWEGO DENTAL GROUP, LLC
NPI 1174181770
Dentist - General Practice in Oswego, IL

Active since May 30, 2019
4771 ROUTE 71, OSWEGO, IL 60543(630) 554-8600 Get Directions Write a Review

NPPES record last updated: May 30, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Oswego Dental Group, Llc NPPES

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

OSWEGO DENTAL GROUP, LLC (NPI 1174181770) is a healthcare organization registered as a general practice in Oswego, Illinois and active in the NPI registry since May 2019. The organization lists Kristen Dixon, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1174181770
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameOSWEGO DENTAL GROUP, LLC
Location Address4771 ROUTE 71Oswego, IL 60543-7415
Mailing Address4771 Route 71Oswego, IL 60543-7415 · (630) 554-8600
Phone(630) 554-8600
Organization SubpartNo
Authorized OfficialKristen DixonBusiness Manager · (630) 554-8600
Enumeration DateMay 30, 2019
✔ NPI 1174181770 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.
4771 ROUTE 71, Oswego, IL 60543
Open in Google Maps ↗

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

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 Oswego Dental Group, LLC's NPI number?

The NPI number for Oswego Dental Group, LLC is 1174181770. It was assigned to this organization in the NPPES registry on May 30, 2019.

Where is Oswego Dental Group, LLC located?

Oswego Dental Group, LLC is located at 4771 Route 71, Oswego, IL 60543. The listed phone number is (630) 554-8600.

What is Oswego Dental Group, LLC'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 Oswego Dental Group, LLC was last updated on May 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.