THE TOOTH REPAIR SHOPPE, LTD.
NPI 1669529145
Dentist - General Practice in Wheaton, IL

Q: What is the provider's specialty?

The provider's specialty is Dentist with taxonomy code 1223G0001X and a focus in General Practice.

Active since January 05, 2007

610 W ROOSEVELT RD, SUITE A1, WHEATON, IL 60187(630) 682-0844(630) 682-1428 Get Directions Write a Review

NPPES record last updated: June 20, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About The Tooth Repair Shoppe, Ltd. NPPES

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

THE TOOTH REPAIR SHOPPE, LTD. (NPI 1669529145) is a healthcare organization registered as a general practice in Wheaton, Illinois and active in the NPI registry since January 2007. The organization lists Gregory C. Calleia, Dentist, as its authorized official.

NPPES Registry Identity

NPI1669529145

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameTHE TOOTH REPAIR SHOPPE, LTD.

Location Address610 W ROOSEVELT RD, SUITE A1Wheaton, IL 60187-5087

Mailing Address610 W. Roosevelt Road, Suite A1Wheaton, IL 60187 · (630) 682-0844 · Fax (630) 682-1428

Phone(630) 682-0844

Fax(630) 682-1428

Organization SubpartNo

Authorized OfficialGregory C. CalleiaDentist · (630) 682-0844

Enumeration DateJanuary 5, 2007

Last NPPES UpdateJune 20, 2008

✔ NPI 1669529145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IL · 060008257

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.

610 W ROOSEVELT RD, Wheaton, IL 60187

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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