PARK AVENUE DENTAL PROFESSIONALS, PC
NPI 1184119950
Dentist - General Practice in Libertyville, IL

Q: What is Park Avenue Dental Professionals, PC's NPI number?

The NPI number for Park Avenue Dental Professionals, PC is 1184119950. It was assigned to this organization in the NPPES registry on June 25, 2018. The provider was formerly known as Meggan L Rutledge, Dds PC.

Q: What is Park Avenue Dental Professionals, PC's specialty?

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

Active since June 25, 2018

1001 W. PARK AVENUE, LIBERTYVILLE, IL 60048(847) 918-1255 Get Directions Write a Review

NPPES record last updated: June 25, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Park Avenue Dental Professionals, Pc NPPES

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

PARK AVENUE DENTAL PROFESSIONALS, PC (NPI 1184119950), doing business as Meggan L Rutledge, Dds Pc, is a healthcare organization registered as a general practice in Libertyville, Illinois and active in the NPI registry since June 2018. The organization lists Meggan Rutledge, Owner, as its authorized official.

NPPES Registry Identity

NPI1184119950

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NamePARK AVENUE DENTAL PROFESSIONALS, PC

Location Address1001 W. PARK AVENUELibertyville, IL 60048

Mailing Address1001 W Park AveLibertyville, IL 60048-2550 · (847) 918-1255

Phone(847) 918-1255

Organization SubpartNo

Authorized OfficialMeggan RutledgeOwner · (847) 918-1255

Enumeration DateJune 25, 2018

✔ NPI 1184119950 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 · 019029777

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.

1001 W. PARK AVENUE, Libertyville, IL 60048

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Other Names 1

Former Legal Business NameMeggan L Rutledge, Dds Pc

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 Park Avenue Dental Professionals, PC's NPI number?

The NPI number for Park Avenue Dental Professionals, PC is 1184119950. It was assigned to this organization in the NPPES registry on June 25, 2018. The provider was formerly known as Meggan L Rutledge, Dds PC.

Where is Park Avenue Dental Professionals, PC located?

Park Avenue Dental Professionals, PC is located at 1001 W. Park Avenue, Libertyville, IL 60048. The listed phone number is (847) 918-1255.

What is Park Avenue Dental Professionals, PC'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 Park Avenue Dental Professionals, PC was last updated on June 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.