PROFESSIONAL DENTAL SPECIALTIES
NPI 1417757915
Dentist - Periodontics in Frankfort, IL

Active since March 14, 2025
20635 ABBEY WOODS CT N STE 203, FRANKFORT, IL 60423(815) 464-3001 Get Directions Write a Review

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

Record update history: Jan 29, 2026, Mar 14, 2025 (2 updates tracked since 2025).

About Professional Dental Specialties NPPES

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

PROFESSIONAL DENTAL SPECIALTIES (NPI 1417757915), doing business as Amanda Piche Dds, Dominik Dubravec Dds, is a healthcare organization registered as a periodontics in Frankfort, Illinois and active in the NPI registry since March 2025. The organization maintains 2 additional practice locations and lists Amanda Piche, Owner, as its authorized official.

NPPES Registry Identity

NPI1417757915
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NamePROFESSIONAL DENTAL SPECIALTIES
Location Address20635 ABBEY WOODS CT N STE 203Frankfort, IL 60423-3186
Mailing Address17236 Munster LnTinley Park, IL 60477-4608 · (319) 389-7177
Organization SubpartNo
Authorized OfficialAmanda PicheOwner · (319) 389-7177
Enumeration DateMarch 14, 2025
Last NPPES UpdateJanuary 29, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2026
NPI 1417757915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
20635 ABBEY WOODS CT N STE 203, Frankfort, IL 60423

Other Names 1

Doing Business AsAmanda Piche Dds, Dominik Dubravec Dds

Secondary Practice Locations 2

Location 11900 Spring Rd Ste 205Oak Brook, IL 60523-1479 · Phone (630) 573-0369
Location 2555 W Court St Ste 202Kankakee, IL 60901-3674 · Phone (815) 932-0554

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 3

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

Dentist (Prosthodontics)
20635 ABBEY WOODS CT N STE 203
FRANKFORT, IL 60423
Dentist (Periodontics)
20635 ABBEY WOODS CT N STE 203
FRANKFORT, IL 60423
Dentist (Prosthodontics)
20635 ABBEY WOODS CT N STE 203
FRANKFORT, IL 60423

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 Specialties's NPI number?

The NPI number for Professional Dental Specialties is 1417757915. It was assigned to this organization in the NPPES registry on March 14, 2025. The provider is doing business as Amanda Piche DDS, Dominik Dubravec DDS.

Where is Professional Dental Specialties located?

Professional Dental Specialties is located at 20635 Abbey Woods Ct N Ste 203, Frankfort, IL 60423. The listed phone number is (815) 464-3001.

What is Professional Dental Specialties's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Professional Dental Specialties was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.