DJORDJEVIC DENTAL PLLC
NPI 1609662410
Dentist - General Practice in Lockport, IL

Active since April 17, 2025

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Djordjevic Dental Pllc NPPES

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

DJORDJEVIC DENTAL PLLC (NPI 1609662410) is a healthcare organization registered as a general practice in Lockport, Illinois and active in the NPI registry since April 2025. The organization lists Stevan Djordjevic, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1609662410
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDJORDJEVIC DENTAL PLLC
Location Address16347 W 159TH ST, [email protected]Lockport, IL 60441-6044
Mailing Address16347 W 159th St, [email protected]Lockport, IL 60441-6044 · (815) 660-5880
Organization SubpartNo
Authorized OfficialStevan DjordjevicOwner/dentist · (815) 660-5880
Enumeration DateApril 17, 2025
NPPES CertifiedApril 10, 2025
NPI 1609662410 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.

16347 W 159TH ST, Lockport, IL 60441

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609662410, enumerated as an "organization" on April 17, 2025.

The provider is located at 16347 W 159TH ST [email protected] LOCKPORT, IL 60441 and the phone number is (815) 660-5880.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.