1. Home
  2. Directory
  3. Illinois
  4. Bolingbrook
  5. Clinic Center
  6. NPI Profile

PROFESSIONAL DENTAL ALLIANCE OF ILLINOIS ORTHO PLLC
NPI 1457987901
Clinic/Center - Dental in Bolingbrook, IL

Active since March 17, 2020
160 E BOUGHTON RD, BOLINGBROOK, IL 60440(630) 410-1766 Get Directions Write a Review

NPPES record last updated: March 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Professional Dental Alliance Of Illinois Ortho Pllc NPPES

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

PROFESSIONAL DENTAL ALLIANCE OF ILLINOIS ORTHO PLLC (NPI 1457987901), doing business as Grove Dental, is a healthcare organization registered as a dental in Bolingbrook, Illinois and active in the NPI registry since March 2020. The organization maintains 3 additional practice locations and lists Amanda Kurtz, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1457987901
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePROFESSIONAL DENTAL ALLIANCE OF ILLINOIS ORTHO PLLC
Location Address160 E BOUGHTON RDBolingbrook, IL 60440-2014
Mailing Address11 S Mill St Ste 200New Castle, PA 16101-3680
Phone(630) 410-1766
Organization SubpartNo
Authorized OfficialAmanda KurtzCredentialing Specialist · (724) 698-2058
Enumeration DateMarch 17, 2020
NPPES CertifiedMarch 17, 2020
✔ NPI 1457987901 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
Open in Google Maps ↗

Other Names 1

Doing Business AsGrove Dental

Secondary Practice Locations 3

Location 16800 Main StDowners Grove, IL 60516-3493 · Phone (630) 969-5350
Location 255 E Loop Rd Ste 201Wheaton, IL 60189-1938 · Phone (630) 653-8899
Location 32 E 22nd St Ste 201Lombard, IL 60148-6105 · Phone (630) 627-4680

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 GROVE DENTAL LLC
Clinic/Center (Dental)
160 E BOUGHTON RD
BOLINGBROOK, IL 60440
Will County (630) 759-8940
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 Illinois Ortho PLLC's NPI number?

The NPI number for Professional Dental Alliance Of Illinois Ortho PLLC is 1457987901. It was assigned to this organization in the NPPES registry on March 17, 2020. The provider is doing business as Grove Dental.

Where is Professional Dental Alliance Of Illinois Ortho PLLC located?

Professional Dental Alliance Of Illinois Ortho PLLC is located at 160 E Boughton Rd, Bolingbrook, IL 60440. The listed phone number is (630) 410-1766.

What is Professional Dental Alliance Of Illinois Ortho PLLC'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 Illinois Ortho PLLC was last updated on March 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.