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DR. KENNETH JAZDZEWSKI DDS
NPI 1215086509
Dentist - General Practice in Antioch, IL

Active since January 09, 2007
800 MAIN ST, ANTIOCH, IL 60002(847) 395-1461(847) 395-9255 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kenneth Jazdzewski Dds NPPES

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

DR. KENNETH JAZDZEWSKI DDS (NPI 1215086509) is an individual general practice provider in Antioch, Illinois and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1215086509
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KENNETH JAZDZEWSKICredential: DDS
Location Address800 MAIN STAntioch, IL 60002-1542
Mailing Address800 Main StAntioch, IL 60002-1542 · (847) 395-1461 · Fax (847) 395-9255
Phone(847) 395-1461
Fax(847) 395-9255
Sole ProprietorNo
Enumeration DateJanuary 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1215086509 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.
800 MAIN ST, Antioch, IL 60002
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES 10

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

ALECIA GREVER LCPC
Marriage & Family Therapist
800 MAIN ST
ANTIOCH, IL 60002
Lake County (847) 838-9904
DR. DANIEL J BOARINI D.D.S.
Dentist (General Practice)
800 MAIN ST
ANTIOCH, IL 60002
Lake County (847) 395-1461
MRS. GRACE S ROBINSON MA, LCSW
Counselor
800 MAIN ST, SUITE 5
ANTIOCH, IL 60002
Lake County (847) 838-9904
GAIL EMILY COLMAN LCSW
Social Worker (Clinical)
800 MAIN ST
ANTIOCH, IL 60002
Lake County (773) 936-4423
LENA OCHOA
Social Worker (Clinical)
800 MAIN ST
ANTIOCH, IL 60002
Lake County (847) 903-5604
HERITAGE DENTAL
Dentist (General Practice)
800 MAIN ST
ANTIOCH, IL 60002
Lake County (847) 395-1461
ANTIOCH SCHOOL DISTRICT 34
Local Education Agency (LEA)
800 MAIN ST
ANTIOCH, IL 60002
Lake County (847) 838-8400
MS. SUSAN A WHITE LCSW
Social Worker (Clinical)
800 MAIN ST, STE 11 LOWER LEVEL
ANTIOCH, IL 60002
Lake County (224) 577-5022

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 Kenneth Jazdzewski's NPI number?

The NPI number for Kenneth Jazdzewski is 1215086509. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Kenneth Jazdzewski located?

Kenneth Jazdzewski practices at 800 Main St, Antioch, IL 60002. The listed phone number is (847) 395-1461.

What is Kenneth Jazdzewski's specialty?

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

What insurance does Kenneth Jazdzewski accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Kenneth Jazdzewski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenneth Jazdzewski was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.