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DENTAL ASSOCIATES OF SOUTH RIDGE, P.C.
NPI 1396292884
Dentist in Gurnee, IL

Active since September 01, 2016
6121 WASHINGTON ST, #202, GURNEE, IL 60031(847) 625-9897 Get Directions Write a Review

NPPES record last updated: September 1, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dental Associates Of South Ridge, P.c. NPPES

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

DENTAL ASSOCIATES OF SOUTH RIDGE, P.C. (NPI 1396292884) is a healthcare organization registered as a dentist in Gurnee, Illinois and active in the NPI registry since September 2016. The organization lists Priyadarshini Boinpally, President, as its authorized official.

NPPES Registry Identity

NPI1396292884
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameDENTAL ASSOCIATES OF SOUTH RIDGE, P.C.
Location Address6121 WASHINGTON ST, #202Gurnee, IL 60031-5305
Mailing Address483 Evergreen DrVernon Hills, IL 60061-2907 · (847) 625-9897
Phone(847) 625-9897
Organization SubpartNo
Authorized OfficialPriyadarshini BoinpallyPresident · (847) 625-9897
Enumeration DateSeptember 1, 2016
✔ NPI 1396292884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019028057
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
6121 WASHINGTON ST, Gurnee, IL 60031
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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

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 ›

Other Providers at the Same Location NPPES 4

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

PRAIRIE ORTHODONTICS PC
Dentist (Orthodontics and Dentofacial Orthopedics)
6121 WASHINGTON ST, SUITE 204
GURNEE, IL 60031
Lake County (847) 249-8800
APOLLO DENTAL CLINIC, LLC
Dentist
6121 WASHINGTON ST, SUITE 203
GURNEE, IL 60031
Lake County (630) 267-4205
NAHEED YASMEEN
Dentist
6121 WASHINGTON ST, #203
GURNEE, IL 60031
Lake County (847) 855-7000
DR. CHRIS P. ULLMANN D.D.S.
Dentist (General Practice)
6121 WASHINGTON ST, SUITE 202
GURNEE, IL 60031
Lake County (847) 625-9897

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 Associates Of South Ridge, P.C.'s NPI number?

The NPI number for Dental Associates Of South Ridge, P.C. is 1396292884. It was assigned to this organization in the NPPES registry on September 1, 2016.

Where is Dental Associates Of South Ridge, P.C. located?

Dental Associates Of South Ridge, P.C. is located at 6121 Washington St #202, Gurnee, IL 60031. The listed phone number is (847) 625-9897.

What is Dental Associates Of South Ridge, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Dental Associates Of South Ridge, P.C. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Dental Associates Of South Ridge, P.C. 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 Dental Associates Of South Ridge, P.C. was last updated on September 1, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.