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GROVE DENTAL
NPI 1417583592
Clinic/Center - Dental in Bolingbrook, IL

Active since March 20, 2020
160 E BOUGHTON RD, BOLINGBROOK, IL 60440(630) 759-8940 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 29, 2021, Mar 20, 2020 (2 updates tracked since 2020).

About Grove Dental NPPES

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

GROVE DENTAL (NPI 1417583592) is a healthcare organization registered as a dental in Bolingbrook, Illinois and active in the NPI registry since March 2020. The organization lists Amanda Kurtz, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1417583592
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePROFESSIONAL DENTAL ALLIANCE OF GROVE DENTAL LLC
Location Address160 E BOUGHTON RDBolingbrook, IL 60440-2014
Mailing AddressPo Box 715279Cincinnati, OH 45271-5279
Phone(630) 759-8940
Organization SubpartNo
Authorized OfficialAmanda KurtzCredentialing Specialist · (724) 698-2058
Enumeration DateMarch 20, 2020
Last NPPES UpdateApril 29, 20212 updates tracked since enumeration
NPPES CertifiedApril 29, 2021
✔ NPI 1417583592 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
160 E BOUGHTON RD, Bolingbrook, IL 60440
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Other Names 1

Doing Business AsGrove Dental

Other Providers at the Same Location NPPES 5

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

DR. MICHELE KAREN SACKHEIM DDS MSD
Dentist (Periodontics)
160 E BOUGHTON RD
BOLINGBROOK, IL 60440
Will County (630) 759-8940
DR. MARITZA AIDEE PEREZ DDS
Dentist (General Practice)
160 E BOUGHTON RD
BOLINGBROOK, IL 60440
Will County (630) 759-8940
PROFESSIONAL DENTAL ALLIANCE OF GROVE DENTAL SPECIALTY LLC
Clinic/Center (Dental)
160 E BOUGHTON RD
BOLINGBROOK, IL 60440
Will County (630) 410-1766
PROFESSIONAL DENTAL ALLIANCE OF ILLINOIS ORTHO PLLC
Clinic/Center (Dental)
160 E BOUGHTON RD
BOLINGBROOK, IL 60440
Will County (630) 410-1766
DR. TYSON L FRENZEL DDS
Dentist
160 E BOUGHTON RD
BOLINGBROOK, IL 60440
Will County (630) 759-8940

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 Professional Dental Alliance Of Grove Dental LLC's NPI number?

The NPI number for Professional Dental Alliance Of Grove Dental LLC is 1417583592. It was assigned to this organization in the NPPES registry on March 20, 2020. The provider is doing business as Grove Dental.

Where is Professional Dental Alliance Of Grove Dental LLC located?

Professional Dental Alliance Of Grove Dental LLC is located at 160 E Boughton Rd, Bolingbrook, IL 60440. The listed phone number is (630) 759-8940.

What is Professional Dental Alliance Of Grove Dental LLC'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 Professional Dental Alliance Of Grove Dental LLC was last updated on April 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.