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HERITAGE DENTAL
NPI 1356490700
Dentist - General Practice in Antioch, IL

Active since January 08, 2007
800 MAIN ST, ANTIOCH, IL 60002(847) 395-1461(847) 395-9255 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Heritage Dental NPPES

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

HERITAGE DENTAL (NPI 1356490700) is a healthcare organization registered as a general practice in Antioch, Illinois and active in the NPI registry since January 2007. The organization lists Kenneth Jazdzewski, Officer Of Corporation, as its authorized official.

NPPES Registry Identity

NPI1356490700
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameHERITAGE DENTAL
Location Address800 MAIN STAntioch, IL 60002-1542
Mailing Address800 Main StAntioch, IL 60002-1542 · (847) 395-1461 · Fax (847) 395-9255
Phone(847) 395-1461
Fax(847) 395-9255
Organization SubpartNo
Authorized OfficialKenneth JazdzewskiOfficer Of Corporation · (847) 395-1461
Enumeration DateJanuary 8, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1356490700 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.

800 MAIN ST, Antioch, IL 60002
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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 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KENNETH JAZDZEWSKI DDS
Dentist (General Practice)
800 MAIN ST
ANTIOCH, IL 60002
Lake County (847) 395-1461
DR. DANIEL J BOARINI D.D.S.
Dentist (General Practice)
800 MAIN ST
ANTIOCH, IL 60002
Lake County (847) 395-1461
ANTIOCH SCHOOL DISTRICT 34
Local Education Agency (LEA)
800 MAIN ST
ANTIOCH, IL 60002
Lake County (847) 838-8400
MR. JAMES GERALD MICHEHL M.ED.
Counselor (Mental Health)
800 MAIN ST, SUITE 28
ANTIOCH, IL 60002
Lake County (847) 347-4357
MRS. GRACE S ROBINSON MA, LCSW
Counselor
800 MAIN ST, SUITE 5
ANTIOCH, IL 60002
Lake County (847) 838-9904
MS. SUSAN A WHITE LCSW
Social Worker (Clinical)
800 MAIN ST, STE 11 LOWER LEVEL
ANTIOCH, IL 60002
Lake County (224) 577-5022
LENA OCHOA
Social Worker (Clinical)
800 MAIN ST
ANTIOCH, IL 60002
Lake County (847) 903-5604
JESSICA L QUIRINI
Social Worker (Clinical)
800 MAIN ST
ANTIOCH, IL 60002
Lake County (847) 903-5604

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 Heritage Dental's NPI number?

The NPI number for Heritage Dental is 1356490700. It was assigned to this organization in the NPPES registry on January 8, 2007.

Where is Heritage Dental located?

Heritage Dental is located at 800 Main St, Antioch, IL 60002. The listed phone number is (847) 395-1461.

What is Heritage Dental'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 Heritage Dental was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.