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ROOTS DENTAL STUDIO
NPI 1366930604
Clinic/Center - Dental in Oak Lawn, IL

Active since April 23, 2018
5425 W 95TH ST, OAK LAWN, IL 60453(708) 636-0565(708) 636-0566 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 8, 2025, Apr 23, 2018 (2 updates tracked since 2018).

About Roots Dental Studio NPPES

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

ROOTS DENTAL STUDIO (NPI 1366930604) is a healthcare organization registered as a dental in Oak Lawn, Illinois and active in the NPI registry since April 2018. The organization lists Paraj Patel, President, as its authorized official.

NPPES Registry Identity

NPI1366930604
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePSP DENTAL SERVICES PC
Location Address5425 W 95TH STOak Lawn, IL 60453-2354
Mailing Address5425 W 95th StOak Lawn, IL 60453-2354 · (708) 636-0565 · Fax (708) 636-0566
Phone(708) 636-0565
Fax(708) 636-0566
Organization SubpartNo
Authorized OfficialParaj PatelPresident · (201) 303-8996
Enumeration DateApril 23, 2018
Last NPPES UpdateJanuary 8, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2025
✔ NPI 1366930604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
5425 W 95TH ST, Oak Lawn, IL 60453
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Other Names 1

Doing Business AsRoots Dental Studio

Other Providers at the Same Location NPPES

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

JOHN PETER FIORENZA D.D.S.
Dentist
5425 W 95TH ST
OAK LAWN, IL 60453
Cook County (708) 636-0565

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 Psp Dental Services PC's NPI number?

The NPI number for Psp Dental Services PC is 1366930604. It was assigned to this organization in the NPPES registry on April 23, 2018. The provider is doing business as Roots Dental Studio.

Where is Psp Dental Services PC located?

Psp Dental Services PC is located at 5425 W 95th St, Oak Lawn, IL 60453. The listed phone number is (708) 636-0565.

What is Psp Dental Services PC'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 Psp Dental Services PC was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.