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COUNTRYSIDE DENTAL GROUP, PC
NPI 1265812507
Dentist - General Practice in Countryside, IL

Active since June 02, 2015
6335 JOLIET RD, 200, COUNTRYSIDE, IL 60525(708) 352-1830 Get Directions Write a Review

NPPES record last updated: August 19, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Countryside Dental Group, Pc NPPES

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

COUNTRYSIDE DENTAL GROUP, PC (NPI 1265812507) is a healthcare organization registered as a general practice in Countryside, Illinois and active in the NPI registry since June 2015. The organization lists Leila Shahbandar, President, as its authorized official.

NPPES Registry Identity

NPI1265812507
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCOUNTRYSIDE DENTAL GROUP, PC
Location Address6335 JOLIET RD, 200Countryside, IL 60525-7427
Mailing Address6335 Joliet Rd Ste 200Countryside, IL 60525-3986 · (708) 352-1830
Phone(708) 352-1830
Organization SubpartNo
Authorized OfficialLeila ShahbandarPresident · (312) 498-2937
Enumeration DateJune 2, 2015
Last NPPES UpdateAugust 19, 2015
✔ NPI 1265812507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019028019
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.
6335 JOLIET RD, Countryside, IL 60525
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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.

DR. NAL ANNIE WALTER DDS
Dentist (General Practice)
6335 JOLIET RD, SUITE 200
COUNTRYSIDE, IL 60525
Cook County (708) 352-1830
DR. LEILA SHAHBANDAR D.D.S.
Dentist (General Practice)
6335 JOLIET RD, 200
COUNTRYSIDE, IL 60525
Cook County (708) 352-1830
NAI ANNIE WALTER DDS,PC
Clinic/Center (Dental)
6335 JOLIET RD, SUITE 200
COUNTRYSIDE, IL 60525
Cook County (708) 352-1830

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 Countryside Dental Group, PC's NPI number?

The NPI number for Countryside Dental Group, PC is 1265812507. It was assigned to this organization in the NPPES registry on June 2, 2015.

Where is Countryside Dental Group, PC located?

Countryside Dental Group, PC is located at 6335 Joliet Rd 200, Countryside, IL 60525. The listed phone number is (708) 352-1830.

What is Countryside Dental Group, PC'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 Countryside Dental Group, PC was last updated on August 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.