1. Home
  2. Directory
  3. Illinois
  4. Naperville
  5. Dentist
  6. NPI Profile

NORTHWEST NAPERVILLE DENTAL CLINIC
NPI 1265606925
Dentist - General Practice in Naperville, IL

Active since April 14, 2008
1620 PEBBLEWOOD LN, SUITE 152, NAPERVILLE, IL 60563(630) 717-7055(630) 717-7885 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Northwest Naperville Dental Clinic NPPES

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

NORTHWEST NAPERVILLE DENTAL CLINIC (NPI 1265606925) is a healthcare organization registered as a general practice in Naperville, Illinois and active in the NPI registry since April 2008. The organization lists Yong Taek Shim, President, as its authorized official.

NPPES Registry Identity

NPI1265606925
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNORTHWEST NAPERVILLE DENTAL CLINIC
Location Address1620 PEBBLEWOOD LN, SUITE 152Naperville, IL 60563-9075
Mailing Address1620 Pebblewood Ln, Suite 152Naperville, IL 60563-9075 · (630) 717-7055 · Fax (630) 717-7885
Phone(630) 717-7055
Fax(630) 717-7885
Organization SubpartNo
Authorized OfficialYong Taek ShimPresident · (630) 717-7055
Enumeration DateApril 14, 2008
Last NPPES UpdateApril 20, 2008
✔ NPI 1265606925 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.
1620 PEBBLEWOOD LN, Naperville, IL 60563
Open in Google Maps ↗

Other Identifiers 1

Medicaid=========6056301IL

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

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.

RNJ DENTAL PC
Dentist (General Practice)
1620 PEBBLEWOOD LN
NAPERVILLE, IL 60563
Dupage County (331) 457-2259
DR. YONG TAEK SHIM D.D.S.
Dentist (General Practice)
1620 PEBBLEWOOD LN, SUITE 152
NAPERVILLE, IL 60563
Dupage County (630) 717-7055
AMMA HOME HEALTH CARE INC.
Home Health
1620 PEBBLEWOOD LN, SUITE 216
NAPERVILLE, IL 60563
Dupage County (630) 369-2680

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 Northwest Naperville Dental Clinic's NPI number?

The NPI number for Northwest Naperville Dental Clinic is 1265606925. It was assigned to this organization in the NPPES registry on April 14, 2008.

Where is Northwest Naperville Dental Clinic located?

Northwest Naperville Dental Clinic is located at 1620 Pebblewood Ln Suite 152, Naperville, IL 60563. The listed phone number is (630) 717-7055.

What is Northwest Naperville Dental Clinic'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 Northwest Naperville Dental Clinic was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.