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LAGRANGE PERIO LLC
NPI 1518689546
Dentist - Periodontics in Countryside, IL

Active since September 15, 2022
6520 JOLIET RD, COUNTRYSIDE, IL 60525(708) 354-4545 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lagrange Perio Llc NPPES

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

LAGRANGE PERIO LLC (NPI 1518689546), doing business as Lagrange Periodontics, is a healthcare organization registered as a periodontics in Countryside, Illinois and active in the NPI registry since September 2022. The organization lists Tiffany Jensen, Manager, as its authorized official.

NPPES Registry Identity

NPI1518689546
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameLAGRANGE PERIO LLC
Location Address6520 JOLIET RDCountryside, IL 60525-4649
Mailing Address6520 Joliet RdCountryside, IL 60525-4649 · (708) 354-4545
Phone(708) 354-4545
Organization SubpartNo
Authorized OfficialTiffany JensenManager · (708) 354-4545
Enumeration DateSeptember 15, 2022
NPPES CertifiedSeptember 15, 2022
✔ NPI 1518689546 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.
6520 JOLIET RD, Countryside, IL 60525
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Other Names 1

Doing Business AsLagrange Periodontics

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 2

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

LAGRANGE PERIODONTICS, LTD
Dentist (Periodontics)
6520 JOLIET RD
COUNTRYSIDE, IL 60525
Cook County (708) 354-4545
DR. MICHELLE P JENNINGS DDS
Dentist (Periodontics)
6520 JOLIET RD
COUNTRYSIDE, IL 60525
Cook County (708) 354-4545

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 Lagrange Perio LLC's NPI number?

The NPI number for Lagrange Perio LLC is 1518689546. It was assigned to this organization in the NPPES registry on September 15, 2022. The provider is doing business as Lagrange Periodontics.

Where is Lagrange Perio LLC located?

Lagrange Perio LLC is located at 6520 Joliet Rd, Countryside, IL 60525. The listed phone number is (708) 354-4545.

What is Lagrange Perio LLC'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 Lagrange Perio LLC was last updated on September 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.