STATION SIDE DENTAL CARE
NPI 1669092177
Dentist - General Practice in Oswego, IL

Active since April 24, 2020
3419 ORCHARD RD, OSWEGO, IL 60543(331) 717-0251(331) 999-3073 Get Directions Write a Review

NPPES record last updated: January 15, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 15, 2021, Apr 24, 2020 (2 updates tracked since 2020).

About Station Side Dental Care NPPES

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

STATION SIDE DENTAL CARE (NPI 1669092177) is a healthcare organization registered as a general practice in Oswego, Illinois and active in the NPI registry since April 2020. The organization lists Jessica Britt, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1669092177
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDENTAL PROFESSIONALS OF ILLINOIS, P.C.
Location Address3419 ORCHARD RDOswego, IL 60543-5005
Mailing Address3419 Orchard RdOswego, IL 60543-5005 · (331) 717-0251
Fax(331) 999-3073
Organization SubpartYes
Authorized OfficialJessica BrittCredentialing Coordinator · (217) 540-5100
Enumeration DateApril 24, 2020
Last NPPES UpdateJanuary 15, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2021
NPI 1669092177 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.
3419 ORCHARD RD, Oswego, IL 60543

Other Names 1

Doing Business AsStation Side Dental Care

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

Other Providers at the Same Location NPPES 3

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

Dentist
3419 ORCHARD RD
OSWEGO, IL 60543
Dentist (General Practice)
3419 ORCHARD RD
OSWEGO, IL 60543
Dentist
3419 ORCHARD RD
OSWEGO, IL 60543

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 Dental Professionals Of Illinois, P.C.'s NPI number?

The NPI number for Dental Professionals Of Illinois, P.C. is 1669092177. It was assigned to this organization in the NPPES registry on April 24, 2020. The provider is doing business as Station Side Dental Care.

Where is Dental Professionals Of Illinois, P.C. located?

Dental Professionals Of Illinois, P.C. is located at 3419 Orchard Rd, Oswego, IL 60543. The listed phone number is (331) 717-0251.

What is Dental Professionals Of Illinois, P.C.'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 Dental Professionals Of Illinois, P.C. was last updated on January 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.