PA DENTAL INCORPORATED
NPI 1548809858
Dentist - General Practice in Glenview, IL

Active since January 03, 2020
630 MILWAUKEE AVE STE 130, GLENVIEW, IL 60025(847) 730-3771(847) 730-3283 Get Directions Write a Review

NPPES record last updated: January 3, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pa Dental Incorporated NPPES

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

PA DENTAL INCORPORATED (NPI 1548809858), doing business as Blissful Dentistry, is a healthcare organization registered as a general practice in Glenview, Illinois and active in the NPI registry since January 2020. The organization lists Ajitha Paruchuri, Owner, as its authorized official.

NPPES Registry Identity

NPI1548809858
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePA DENTAL INCORPORATED
Location Address630 MILWAUKEE AVE STE 130Glenview, IL 60025-5655
Mailing AddressPo Box 189Northbrook, IL 60065-0189
Fax(847) 730-3283
Organization SubpartNo
Authorized OfficialAjitha ParuchuriOwner · (847) 730-3771
Enumeration DateJanuary 3, 2020
NPI 1548809858 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
630 MILWAUKEE AVE STE 130, Glenview, IL 60025

Other Names 1

Doing Business AsBlissful Dentistry

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

Accepted Insurance

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.

Dentist (General Practice)
630 MILWAUKEE AVE STE 130
GLENVIEW, IL 60025
Dentist
630 MILWAUKEE AVE STE 130
GLENVIEW, IL 60025

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 PA Dental Incorporated's NPI number?

The NPI number for PA Dental Incorporated is 1548809858. It was assigned to this organization in the NPPES registry on January 3, 2020. The provider is doing business as Blissful Dentistry.

Where is PA Dental Incorporated located?

PA Dental Incorporated is located at 630 Milwaukee Ave Ste 130, Glenview, IL 60025. The listed phone number is (847) 730-3771.

What is PA Dental Incorporated's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does PA Dental Incorporated accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list PA Dental Incorporated as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for PA Dental Incorporated was last updated on January 3, 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.