1. Home
  2. Directory
  3. Illinois
  4. Bolingbrook
  5. Clinic Center
  6. NPI Profile

GROVE DENTAL
NPI 1215563762
Clinic/Center - Dental in Bolingbrook, IL

Active since March 17, 2020
160 E BOUGHTON RD, BOLINGBROOK, IL 60440(630) 410-1766 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Apr 28, 2021, Mar 17, 2020 (2 updates tracked since 2020).

About Grove Dental NPPES

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

GROVE DENTAL (NPI 1215563762) is a healthcare organization registered as a dental in Bolingbrook, Illinois and active in the NPI registry since March 2020. The organization lists Amanda Kurtz, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1215563762
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePROFESSIONAL DENTAL ALLIANCE OF GROVE DENTAL SPECIALTY LLC
Location Address160 E BOUGHTON RDBolingbrook, IL 60440-2014
Mailing AddressPo Box 715279Cincinnati, OH 45271-5279
Phone(630) 410-1766
Organization SubpartNo
Authorized OfficialAmanda KurtzCredentialing Specialist · (724) 698-2058
Enumeration DateMarch 17, 2020
Last NPPES UpdateApril 28, 20212 updates tracked since enumeration
NPPES CertifiedApril 28, 2021
✔ NPI 1215563762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
160 E BOUGHTON RD, Bolingbrook, IL 60440
Open in Google Maps ↗

Other Names 1

Doing Business AsGrove Dental

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.

DR. MICHELE KAREN SACKHEIM DDS MSD
Dentist (Periodontics)
160 E BOUGHTON RD
BOLINGBROOK, IL 60440
Will County (630) 759-8940
DR. MARITZA AIDEE PEREZ DDS
Dentist (General Practice)
160 E BOUGHTON RD
BOLINGBROOK, IL 60440
Will County (630) 759-8940
PROFESSIONAL DENTAL ALLIANCE OF GROVE DENTAL LLC
Clinic/Center (Dental)
160 E BOUGHTON RD
BOLINGBROOK, IL 60440
Will County (630) 759-8940
PROFESSIONAL DENTAL ALLIANCE OF ILLINOIS ORTHO PLLC
Clinic/Center (Dental)
160 E BOUGHTON RD
BOLINGBROOK, IL 60440
Will County (630) 410-1766
DR. TYSON L FRENZEL DDS
Dentist
160 E BOUGHTON RD
BOLINGBROOK, IL 60440
Will County (630) 759-8940

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 Professional Dental Alliance Of Grove Dental Specialty LLC's NPI number?

The NPI number for Professional Dental Alliance Of Grove Dental Specialty LLC is 1215563762. It was assigned to this organization in the NPPES registry on March 17, 2020. The provider is doing business as Grove Dental.

Where is Professional Dental Alliance Of Grove Dental Specialty LLC located?

Professional Dental Alliance Of Grove Dental Specialty LLC is located at 160 E Boughton Rd, Bolingbrook, IL 60440. The listed phone number is (630) 410-1766.

What is Professional Dental Alliance Of Grove Dental Specialty LLC'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 Professional Dental Alliance Of Grove Dental Specialty LLC was last updated on April 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.