SECOND STREET DENTAL LLC
NPI 1225478563
Dentist - General Practice in St Charles, IL

Active since July 01, 2013
115 S 2ND ST, ST CHARLES, IL 60174(630) 339-3172(847) 891-6775 Get Directions Write a Review

NPPES record last updated: July 1, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Second Street Dental Llc NPPES

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

SECOND STREET DENTAL LLC (NPI 1225478563) is a healthcare organization registered as a general practice in St Charles, Illinois and active in the NPI registry since July 2013. The organization lists Alan J Acierno, Owner, as its authorized official.

NPPES Registry Identity

NPI1225478563
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSECOND STREET DENTAL LLC
Location Address115 S 2ND STSt Charles, IL 60174-2812
Mailing Address129 S Roselle Rd, Suite 102Schaumburg, IL 60193-5540 · (630) 339-3172 · Fax (847) 891-6775
Fax(847) 891-6775
Organization SubpartNo
Authorized OfficialAlan J AciernoOwner · (630) 339-3172
Enumeration DateJuly 1, 2013
NPI 1225478563 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.
115 S 2ND ST, St Charles, IL 60174

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

Accepted Insurance

Other Providers at the Same Location NPPES 3

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

Psychologist (Clinical Child & Adolescent)
115 S 2ND ST, 2ND FLOOR
ST CHARLES, IL 60174
Dentist (General Practice)
115 S 2ND ST
ST CHARLES, IL 60174
Dentist
115 S 2ND ST, FIRST FLOOR
ST CHARLES, IL 60174

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 Second Street Dental LLC's NPI number?

The NPI number for Second Street Dental LLC is 1225478563. It was assigned to this organization in the NPPES registry on July 1, 2013.

Where is Second Street Dental LLC located?

Second Street Dental LLC is located at 115 S 2nd St, St Charles, IL 60174. The listed phone number is (630) 339-3172.

What is Second Street Dental LLC's specialty?

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

What insurance does Second Street Dental LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Second Street Dental LLC 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 Second Street Dental LLC was last updated on July 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.