ILLINOIS DENTAL PROVIDERS (GLEN ELLYN), LTD
NPI 1306217252
Dentist - General Practice in Glen Ellyn, IL

Q: What is Illinois Dental Providers (glen Ellyn), Ltd's specialty?

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

Active since October 16, 2015

701 ROOSEVELT RD, GLEN ELLYN, IL 60137(630) 790-8430(216) 584-1056 Get Directions Write a Review

NPPES record last updated: March 20, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Illinois Dental Providers (glen Ellyn), Ltd NPPES

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

ILLINOIS DENTAL PROVIDERS (GLEN ELLYN), LTD (NPI 1306217252) is a healthcare organization registered as a general practice in Glen Ellyn, Illinois and active in the NPI registry since October 2015. The organization lists Rachel Nittinger, Manager Credentialing, as its authorized official.

NPPES Registry Identity

NPI1306217252

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameILLINOIS DENTAL PROVIDERS (GLEN ELLYN), LTD

Location Address701 ROOSEVELT RDGlen Ellyn, IL 60137-5805

Mailing Address7160 Dallas Pkwy Ste 400Plano, TX 75024-7111

Phone(630) 790-8430

Fax(216) 584-1056

Organization SubpartYesParent: Dentalone Partners, Inc.

Authorized OfficialRachel NittingerManager Credentialing · (972) 755-0816

Enumeration DateOctober 16, 2015

Last NPPES UpdateMarch 20, 2018

✔ NPI 1306217252 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.

701 ROOSEVELT RD, Glen Ellyn, IL 60137

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

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 Illinois Dental Providers (glen Ellyn), Ltd's NPI number?

The NPI number for Illinois Dental Providers (glen Ellyn), Ltd is 1306217252. It was assigned to this organization in the NPPES registry on October 16, 2015.

Where is Illinois Dental Providers (glen Ellyn), Ltd located?

Illinois Dental Providers (glen Ellyn), Ltd is located at 701 Roosevelt Rd, Glen Ellyn, IL 60137. The listed phone number is (630) 790-8430.

What is Illinois Dental Providers (glen Ellyn), Ltd's specialty?

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

What insurance does Illinois Dental Providers (glen Ellyn), Ltd accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Illinois Dental Providers (glen Ellyn), Ltd 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 Illinois Dental Providers (glen Ellyn), Ltd was last updated on March 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.