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MAIN STREET DENTISTRY LLC
NPI 1316321524
Preferred Provider Organization in Bourbonnais, IL

Active since July 17, 2015
801 MAIN STREET NW, BOURBONNAIS, IL 60914(815) 932-3516 Get Directions Write a Review

NPPES record last updated: September 15, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Main Street Dentistry Llc NPPES

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

MAIN STREET DENTISTRY LLC (NPI 1316321524) is a healthcare organization registered as a preferred provider organization in Bourbonnais, Illinois and active in the NPI registry since July 2015. The organization lists Alan M. Acierno, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1316321524
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameMAIN STREET DENTISTRY LLC
Location Address801 MAIN STREET NWBourbonnais, IL 60914
Mailing Address129 S. Roselle Rd, Ste. 102Schaumburg, IL 60193 · (630) 339-3172 · Fax (847) 891-6775
Phone(815) 932-3516
Organization SubpartNo
Authorized OfficialAlan M. AciernoChief Financial Officer · (630) 339-3172
Enumeration DateJuly 17, 2015
Last NPPES UpdateSeptember 15, 2015
✔ NPI 1316321524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
801 MAIN STREET NW, Bourbonnais, IL 60914
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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 Main Street Dentistry LLC's NPI number?

The NPI number for Main Street Dentistry LLC is 1316321524. It was assigned to this organization in the NPPES registry on July 17, 2015.

Where is Main Street Dentistry LLC located?

Main Street Dentistry LLC is located at 801 Main Street NW, Bourbonnais, IL 60914. The listed phone number is (815) 932-3516.

What is Main Street Dentistry LLC's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Main Street Dentistry LLC was last updated on September 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.