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INNOVATIVE PEDIATRIC DENTISTRY
NPI 1447644802
Dentist - Pediatric Dentistry in Naperville, IL

Active since March 24, 2015
55 S MAIN ST STE 241, NAPERVILLE, IL 60540(630) 848-2010(630) 848-2011 Get Directions Write a Review

NPPES record last updated: March 24, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Innovative Pediatric Dentistry NPPES

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

INNOVATIVE PEDIATRIC DENTISTRY (NPI 1447644802) is a healthcare organization registered as a pediatric dentistry in Naperville, Illinois and active in the NPI registry since March 2015. The organization lists Anthony Lavacca, President, as its authorized official.

NPPES Registry Identity

NPI1447644802
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameINNOVATIVE PEDIATRIC DENTISTRY
Location Address55 S MAIN ST STE 241Naperville, IL 60540-5377
Mailing Address55 S Main St Ste 241Naperville, IL 60540-5377 · (630) 848-2010 · Fax (630) 848-2011
Phone(630) 848-2010
Fax(630) 848-2011
Organization SubpartNo
Authorized OfficialAnthony LavaccaPresident · (630) 848-2010
Enumeration DateMarch 24, 2015
✔ NPI 1447644802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in IL · 4744296
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

55 S MAIN ST STE 241, Naperville, IL 60540
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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

Other Providers at the Same Location NPPES 6

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

DR. TAWFIK ABDUL DAYEM
Dentist (General Practice)
55 S MAIN ST STE 241
NAPERVILLE, IL 60540
Dupage County (630) 848-2010
DR. STEVEN YUAN D.D.S.
Dentist (General Practice)
55 S MAIN ST STE 241
NAPERVILLE, IL 60540
Dupage County (630) 848-2010
JENNIE KIM DMD
Dentist
55 S MAIN ST STE 241
NAPERVILLE, IL 60540
Dupage County (630) 848-2010
JONATHAN BEDI DMD
Dentist (General Practice)
55 S MAIN ST STE 241
NAPERVILLE, IL 60540
Dupage County (630) 848-2010
DENTAL PROFESSIONALS OF ILLINOIS, P.C
Dentist (General Practice)
55 S MAIN ST STE 241
NAPERVILLE, IL 60540
Dupage County (630) 848-2010
SAMHITHA PASUPULETI DMD
Dentist
55 S MAIN ST STE 241
NAPERVILLE, IL 60540
Dupage County (630) 848-2010

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 Innovative Pediatric Dentistry's NPI number?

The NPI number for Innovative Pediatric Dentistry is 1447644802. It was assigned to this organization in the NPPES registry on March 24, 2015.

Where is Innovative Pediatric Dentistry located?

Innovative Pediatric Dentistry is located at 55 S Main St Ste 241, Naperville, IL 60540. The listed phone number is (630) 848-2010.

What is Innovative Pediatric Dentistry's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Innovative Pediatric Dentistry was last updated on March 24, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.