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PARK AVENUE DENTAL PROFESSIONALS LLC
NPI 1245360288
Dentist - General Practice in Libertyville, IL

Active since March 07, 2007
1001 W PARK AVENUE, LIBERTYVILLE, IL 60048(847) 918-1255(847) 918-1280 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Park Avenue Dental Professionals Llc NPPES

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

PARK AVENUE DENTAL PROFESSIONALS LLC (NPI 1245360288) is a healthcare organization registered as a general practice in Libertyville, Illinois and active in the NPI registry since March 2007. The organization lists Kathleen Christie Jaroch, Partner, as its authorized official.

NPPES Registry Identity

NPI1245360288
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePARK AVENUE DENTAL PROFESSIONALS LLC
Location Address1001 W PARK AVENUELibertyville, IL 60048
Mailing Address1001 W Park AvenueLibertyville, IL 60048 · (847) 918-1255 · Fax (847) 918-1280
Phone(847) 918-1255
Fax(847) 918-1280
Organization SubpartNo
Authorized OfficialKathleen Christie JarochPartner · (847) 918-1255
Enumeration DateMarch 7, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1245360288 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.
1001 W PARK AVENUE, Libertyville, IL 60048
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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. KATHLEEN JEAN CHRISTIE JAROCH DDS
Dentist (General Practice)
1001 W PARK AVENUE
LIBERTYVILLE, IL 60048
Lake County (847) 918-1255
DR. MEAGAN RUTH HEILMAN DDS
Dentist (General Practice)
1001 W PARK AVENUE
LIBERTYVILLE, IL 60048
Lake County (847) 918-1255

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 LLC's NPI number?

The NPI number for Park Avenue Dental Professionals LLC is 1245360288. It was assigned to this organization in the NPPES registry on March 7, 2007.

Where is Park Avenue Dental Professionals LLC located?

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

What is Park Avenue Dental Professionals 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 Park Avenue Dental Professionals LLC was last updated on August 22, 2020. 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.