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CROSSROADS DENTAL CARE LLC
NPI 1225257397
Dentist - General Practice in Tinley Park, IL

Active since April 25, 2007
9532 179TH ST, TINLEY PARK, IL 60477(708) 444-2273(708) 444-7380 Get Directions Write a Review

NPPES record last updated: July 18, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crossroads Dental Care Llc NPPES

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

CROSSROADS DENTAL CARE LLC (NPI 1225257397) is a healthcare organization registered as a general practice in Tinley Park, Illinois and active in the NPI registry since April 2007. The organization lists Jennifer P Koch, Owner, as its authorized official.

NPPES Registry Identity

NPI1225257397
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCROSSROADS DENTAL CARE LLC
Location Address9532 179TH STTinley Park, IL 60477-9602
Mailing Address9532 179th StTinley Park, IL 60477-9602 · (708) 444-2273 · Fax (708) 444-7380
Phone(708) 444-2273
Fax(708) 444-7380
Organization SubpartNo
Authorized OfficialJennifer P KochOwner · (708) 444-2273
Enumeration DateApril 25, 2007
Last NPPES UpdateJuly 18, 2007
✔ NPI 1225257397 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.
9532 179TH ST, Tinley Park, IL 60477
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. JENNIFER P KOCH DMD
Dentist (General Practice)
9532 179TH ST
TINLEY PARK, IL 60477
Cook County (708) 444-2273
DR. INGRID E SHULTS DDS
Dentist (General Practice)
9532 179TH ST
TINLEY PARK, IL 60477
Cook County (708) 444-2273

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 Crossroads Dental Care LLC's NPI number?

The NPI number for Crossroads Dental Care LLC is 1225257397. It was assigned to this organization in the NPPES registry on April 25, 2007.

Where is Crossroads Dental Care LLC located?

Crossroads Dental Care LLC is located at 9532 179th St, Tinley Park, IL 60477. The listed phone number is (708) 444-2273.

What is Crossroads Dental Care 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 Crossroads Dental Care LLC was last updated on July 18, 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.