DENTIST AT YOUR DOOR LLC
NPI 1487810685
Dentist in Lynwood, IL

Q: What is Dentist At Your Door LLC's NPI number?

The NPI number for Dentist At Your Door LLC is 1487810685. It was assigned to this organization in the NPPES registry on August 6, 2008.

Q: What is Dentist At Your Door LLC's specialty?

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

Active since August 06, 2008

19512 SEQUOIA AVE, LYNWOOD, IL 60411(708) 828-8637 Get Directions Write a Review

NPPES record last updated: August 6, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dentist At Your Door Llc NPPES

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

DENTIST AT YOUR DOOR LLC (NPI 1487810685) is a healthcare organization registered as a dentist in Lynwood, Illinois and active in the NPI registry since August 2008. The organization lists Shanda Lolita Bundy-smith, Dentist, as its authorized official.

NPPES Registry Identity

NPI1487810685

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameDENTIST AT YOUR DOOR LLC

Location Address19512 SEQUOIA AVELynwood, IL 60411-6825

Mailing Address19512 Sequoia AveLynwood, IL 60411-6825 · (708) 828-8637

Phone(708) 828-8637

Organization SubpartNo

Authorized OfficialShanda Lolita Bundy-smithDentist · (708) 828-8637

Enumeration DateAugust 6, 2008

✔ NPI 1487810685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019023785

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.

19512 SEQUOIA AVE, Lynwood, IL 60411

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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

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 Dentist At Your Door LLC's NPI number?

The NPI number for Dentist At Your Door LLC is 1487810685. It was assigned to this organization in the NPPES registry on August 6, 2008.

Where is Dentist At Your Door LLC located?

Dentist At Your Door LLC is located at 19512 Sequoia Ave, Lynwood, IL 60411. The listed phone number is (708) 828-8637.

What is Dentist At Your Door LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Dentist At Your Door LLC was last updated on August 6, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.