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BRENT DANIELSON DDS
NPI 1174848576
Dentist - General Practice in La Grange, IL

Active since March 29, 2010
1400 W 47TH ST, LA GRANGE, IL 60525(708) 482-4420 Get Directions Write a Review

NPPES record last updated: March 29, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Brent Danielson Dds NPPES

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

BRENT DANIELSON DDS (NPI 1174848576) is an individual general practice provider in La Grange, Illinois, licensed in Illinois (019-015421) and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1174848576
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameBRENT DANIELSONCredential: DDS
Location Address1400 W 47TH STLa Grange, IL 60525-6141
Mailing Address1400 W 47th StLa Grange, IL 60525-6141 · (708) 482-4420
Phone(708) 482-4420
Sole ProprietorYes
Enumeration DateMarch 29, 2010
✔ NPI 1174848576 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 · 019-015421
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.
1400 W 47TH ST, La Grange, IL 60525
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NANCY DONNA COZZI, D.D.S.
Dentist (General Practice)
1400 W 47TH ST
LA GRANGE, IL 60525
Cook County (708) 579-1522
HEALTHY SMILES OF LA GRANGE, PC
Clinic/Center (Dental)
1400 W 47TH ST, UNIT 7
LA GRANGE, IL 60525
Cook County (708) 482-4420
KATHLEEN A WARD M.D.
Internal Medicine (Cardiovascular Disease)
1400 W 47TH ST, SUITE1
LA GRANGE, IL 60525
Cook County (708) 698-4563
DR. NANCY D. COZZI D.D.S.
Dentist (General Practice)
1400 W 47TH ST, SUITE 8
LA GRANGE, IL 60525
Cook County (708) 579-1522
DR. RICHARD WILLIAM PACELLI DDS
Dentist (Endodontics)
1400 W 47TH ST, SUITE 9
LA GRANGE, IL 60525
Cook County (708) 482-4517

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 Brent Danielson's NPI number?

The NPI number for Brent Danielson is 1174848576. It was assigned to this individual provider in the NPPES registry on March 29, 2010.

Where is Brent Danielson located?

Brent Danielson practices at 1400 W 47th St, La Grange, IL 60525. The listed phone number is (708) 482-4420.

What is Brent Danielson'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 Brent Danielson was last updated on March 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.