NELSON RIDGE FAMILY DENTAL
NPI 1306111349
Clinic/Center - Dental in New Lenox, IL
About Nelson Ridge Family Dental NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NELSON RIDGE FAMILY DENTAL (NPI 1306111349) is a healthcare organization registered as a dental in New Lenox, Illinois and active in the NPI registry since March 2012. The organization lists Paul E Etchison, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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.
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 Nelson Ridge Family Dental's NPI number?
The NPI number for Nelson Ridge Family Dental is 1306111349. It was assigned to this organization in the NPPES registry on March 8, 2012.
Where is Nelson Ridge Family Dental located?
Nelson Ridge Family Dental is located at 820 Laraway Rd, New Lenox, IL 60451. The listed phone number is (815) 524-6000.
What is Nelson Ridge Family Dental's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
When was this NPI record last updated?
The NPPES record for Nelson Ridge Family Dental was last updated on March 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Nelson Ridge Family Dental · NPI 1306111349
Dental organization in New Lenox, Illinois. Organization record, active in the CMS NPPES registry since March 8, 2012.
## Identity
- **NPI:** 1306111349 (Entity type: Organization)
- **Enumerated:** March 8, 2012
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Organization subpart:** No
- **Authorized official:** Paul Etchison, OWNER
## Practice location
- **Address:** 820 LARAWAY RD, New Lenox, IL 60451-2694
- **Phone:** (815) 524-6000
## Record status
- **NPPES last updated:** March 8, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1306111349) · Data from the CMS NPPES public registry.