DENTAL PROFESSIONALS OF ILLINOIS, P.C.
NPI 1376254920
Dentist - General Practice in Oak Park, IL

Q: What is Dental Professionals Of Illinois, P.C.'s specialty?

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

Active since December 05, 2022

1113 CHICAGO AVE, OAK PARK, IL 60302(708) 383-0500 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dental Professionals Of Illinois, P.c. NPPES

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

DENTAL PROFESSIONALS OF ILLINOIS, P.C. (NPI 1376254920), doing business as Lifetime Smiles Dental, is a healthcare organization registered as a general practice in Oak Park, Illinois and active in the NPI registry since December 2022. The organization lists Hillary Thull, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1376254920

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameDENTAL PROFESSIONALS OF ILLINOIS, P.C.

Location Address1113 CHICAGO AVEOak Park, IL 60302-1803

Mailing Address1113 Chicago AveOak Park, IL 60302-1803

Phone(708) 383-0500

Organization SubpartYes

Authorized OfficialHillary ThullCredentialing Coordinator · (217) 540-8946

Enumeration DateDecember 5, 2022

NPPES CertifiedDecember 5, 2022

✔ NPI 1376254920 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.

1113 CHICAGO AVE, Oak Park, IL 60302

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Other Names 1

Doing Business AsLifetime Smiles Dental

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 2

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

KRYSTLE GRANDBERRY WIDEN DMD

Dentist (General Practice)

1113 CHICAGO AVE
OAK PARK, IL 60302

Cook County (708) 383-0500

DR. RENE TANQUILUT DDS

Dentist

1113 CHICAGO AVE
OAK PARK, IL 60302

Cook County (708) 790-2169

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 Dental Professionals Of Illinois, P.C.'s NPI number?

The NPI number for Dental Professionals Of Illinois, P.C. is 1376254920. It was assigned to this organization in the NPPES registry on December 5, 2022. The provider is doing business as Lifetime Smiles Dental.

Where is Dental Professionals Of Illinois, P.C. located?

Dental Professionals Of Illinois, P.C. is located at 1113 Chicago Ave, Oak Park, IL 60302. The listed phone number is (708) 383-0500.

What is Dental Professionals Of Illinois, P.C.'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 Dental Professionals Of Illinois, P.C. was last updated on December 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.