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INNOVA FAMILY DENTAL
NPI 1558994392
Dentist - General Practice in Bolingbrook, IL

Active since February 20, 2020
772 S WEBER RD, BOLINGBROOK, IL 60490(630) 518-2272(630) 243-4778 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Innova Family Dental NPPES

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

INNOVA FAMILY DENTAL (NPI 1558994392) is a healthcare organization registered as a general practice in Bolingbrook, Illinois and active in the NPI registry since February 2020. The organization lists Kalpana N Kandimalla, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1558994392
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKANDIMALLA DENTAL PLLC
Location Address772 S WEBER RDBolingbrook, IL 60490-5472
Mailing Address772 S Weber RdBolingbrook, IL 60490-5472 · (630) 518-2272
Phone(630) 518-2272
Fax(630) 243-4778
Organization SubpartNo
Authorized OfficialKalpana N KandimallaOwner Dentist · (630) 518-2272
Enumeration DateFebruary 20, 2020
Last NPPES UpdateJune 21, 2022
NPPES CertifiedJune 21, 2022
✔ NPI 1558994392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedDentistTaxonomy 122300000X
772 S WEBER RD, Bolingbrook, IL 60490
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Other Names 1

Doing Business AsInnova Family Dental

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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

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

DR. KALPANA NAGADEEPTHI KANDIMALLA DDS
Dentist
772 S WEBER RD
BOLINGBROOK, IL 60490
Will County (630) 518-2272

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 Kandimalla Dental PLLC's NPI number?

The NPI number for Kandimalla Dental PLLC is 1558994392. It was assigned to this organization in the NPPES registry on February 20, 2020. The provider is doing business as Innova Family Dental.

Where is Kandimalla Dental PLLC located?

Kandimalla Dental PLLC is located at 772 S Weber Rd, Bolingbrook, IL 60490. The listed phone number is (630) 518-2272.

What is Kandimalla Dental PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Kandimalla Dental PLLC was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.