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ASSOCIATED DENTAL SPECIALISTS OF LONG GROVE
NPI 1558145227
Dentist - Pediatric Dentistry in Long Grove, IL

Active since August 23, 2023
4160 IL ROUTE 83 STE 308, LONG GROVE, IL 60047(847) 634-6166 Get Directions Write a Review

NPPES record last updated: December 13, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 13, 2023, Aug 23, 2023 (2 updates tracked since 2023).

About Associated Dental Specialists Of Long Grove NPPES

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

ASSOCIATED DENTAL SPECIALISTS OF LONG GROVE (NPI 1558145227) is a healthcare organization registered as a pediatric dentistry in Long Grove, Illinois and active in the NPI registry since August 2023. The organization lists Erica Quinteros, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1558145227
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePROFESSIONAL DENTAL ALLIANCE OF ILLINOIS SPECIALTY, PLLC
Location Address4160 IL ROUTE 83 STE 308Long Grove, IL 60047-8034
Mailing Address125 Enterprise Dr Ste 200Pittsburgh, PA 15275-1223 · (249) 011-9647
Phone(847) 634-6166
Organization SubpartNo
Authorized OfficialErica QuinterosCredentialing · (724) 901-1964
Enumeration DateAugust 23, 2023
Last NPPES UpdateDecember 13, 20232 updates tracked since enumeration
NPPES CertifiedDecember 13, 2023
✔ NPI 1558145227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Also ListedDentist · General PracticeTaxonomy 1223G0001X
Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X
4160 IL ROUTE 83 STE 308, Long Grove, IL 60047
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Other Names 1

Doing Business AsAssociated Dental Specialists Of Long Grove

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Professional Dental Alliance Of Illinois Specialty, PLLC's NPI number?

The NPI number for Professional Dental Alliance Of Illinois Specialty, PLLC is 1558145227. It was assigned to this organization in the NPPES registry on August 23, 2023. The provider is doing business as Associated Dental Specialists Of Long Grove.

Where is Professional Dental Alliance Of Illinois Specialty, PLLC located?

Professional Dental Alliance Of Illinois Specialty, PLLC is located at 4160 Il Route 83 Ste 308, Long Grove, IL 60047. The listed phone number is (847) 634-6166.

What is Professional Dental Alliance Of Illinois Specialty, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Professional Dental Alliance Of Illinois Specialty, PLLC was last updated on December 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.