1. Home
  2. Directory
  3. Illinois
  4. Flossmoor
  5. Dentist
  6. NPI Profile

PERFORMACE DENTAL CARE IL PC
NPI 1497175988
Dentist in Flossmoor, IL

Active since April 23, 2014
19509 GOVERNORS HWY, FLOSSMOOR, IL 60422(708) 647-7509 Get Directions Write a Review

NPPES record last updated: April 23, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Performace Dental Care Il Pc NPPES

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

PERFORMACE DENTAL CARE IL PC (NPI 1497175988) is a healthcare organization registered as a dentist in Flossmoor, Illinois and active in the NPI registry since April 2014. The organization lists Kevin Fatland, Dentist, as its authorized official.

NPPES Registry Identity

NPI1497175988
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NamePERFORMACE DENTAL CARE IL PC
Location Address19509 GOVERNORS HWYFlossmoor, IL 60422-2097
Mailing Address19509 Governors HwyFlossmoor, IL 60422-2097 · (708) 647-7509
Phone(708) 647-7509
Organization SubpartNo
Authorized OfficialKevin FatlandDentist · (708) 647-7509
Enumeration DateApril 23, 2014
✔ NPI 1497175988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 19025070
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.
19509 GOVERNORS HWY, Flossmoor, IL 60422
Open in Google Maps ↗

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.

DR. STEPHEN EDWARD JARVIE D.D.S.
Dentist (General Practice)
19509 GOVERNORS HWY
FLOSSMOOR, IL 60422
Cook County (708) 798-8787
PERFORMANCE DENTAL CARE
Dentist (General Practice)
19509 GOVERNORS HWY
FLOSSMOOR, IL 60422
Cook County (708) 798-8787
TRU DENTAL ILLINOIS, P.C.
Dentist (General Practice)
19509 GOVERNORS HWY
FLOSSMOOR, IL 60422
Cook County (708) 647-7509

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 Performace Dental Care Il PC's NPI number?

The NPI number for Performace Dental Care Il PC is 1497175988. It was assigned to this organization in the NPPES registry on April 23, 2014.

Where is Performace Dental Care Il PC located?

Performace Dental Care Il PC is located at 19509 Governors Hwy, Flossmoor, IL 60422. The listed phone number is (708) 647-7509.

What is Performace Dental Care Il PC'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 Performace Dental Care Il PC was last updated on April 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.