DENTISTRYONE OF ILLINOIS PC
NPI 1619738796
Dentist - General Practice in Bannockburn, IL

Q: What is Dentistryone Of Illinois PC's NPI number?

The NPI number for Dentistryone Of Illinois PC is 1619738796. It was assigned to this organization in the NPPES registry on January 17, 2024.

Q: What is Dentistryone Of Illinois PC's specialty?

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

Active since January 17, 2024

2515 WAUKEGAN RD # 557, BANNOCKBURN, IL 60015(877) 712-7875 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dentistryone Of Illinois Pc NPPES

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

DENTISTRYONE OF ILLINOIS PC (NPI 1619738796) is a healthcare organization registered as a general practice in Bannockburn, Illinois and active in the NPI registry since January 2024. The organization lists Derek Weigand, Owner, as its authorized official.

NPPES Registry Identity

NPI1619738796

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameDENTISTRYONE OF ILLINOIS PC

Location Address2515 WAUKEGAN RD # 557Bannockburn, IL 60015-1569

Mailing Address20 Highland AveMetuchen, NJ 08840-1949

Phone(877) 712-7875

Organization SubpartNo

Authorized OfficialDerek WeigandOwner · (877) 712-7875

Enumeration DateJanuary 17, 2024

Last NPPES UpdateMay 2, 2025

NPPES CertifiedMay 2, 2025

✔ NPI 1619738796 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 ListedDentist · Pediatric DentistryTaxonomy 1223P0221X

2515 WAUKEGAN RD # 557, Bannockburn, IL 60015

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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 Dentistryone Of Illinois PC's NPI number?

The NPI number for Dentistryone Of Illinois PC is 1619738796. It was assigned to this organization in the NPPES registry on January 17, 2024.

Where is Dentistryone Of Illinois PC located?

Dentistryone Of Illinois PC is located at 2515 Waukegan Rd # 557, Bannockburn, IL 60015. The listed phone number is (877) 712-7875.

What is Dentistryone Of Illinois PC'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 Dentistryone Of Illinois PC was last updated on May 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.