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PRAIRIE DENTAL PARTNERS LLC
NPI 1669935193
Dentist in Lisle, IL

Active since April 11, 2019

NPPES record last updated: April 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prairie Dental Partners Llc NPPES

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

PRAIRIE DENTAL PARTNERS LLC (NPI 1669935193) is a healthcare organization registered as a dentist in Lisle, Illinois and active in the NPI registry since April 2019. The organization lists Oscar G Gonzalez, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1669935193
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NamePRAIRIE DENTAL PARTNERS LLC
Location Address4746 MAIN STLisle, IL 60532-1724
Mailing Address4746 Main StLisle, IL 60532-1724 · (630) 968-5078
Phone(630) 968-5078
Organization SubpartNo
Authorized OfficialOscar G GonzalezDirector Of Operations · (219) 465-8627
Enumeration DateApril 11, 2019
✔ NPI 1669935193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
4746 MAIN ST, Lisle, IL 60532
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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

Other Providers at the Same Location NPPES

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

OMER N KHAN DMD
Dentist (General Practice)
4746 MAIN ST
LISLE, IL 60532
Dupage County (630) 968-5078

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 Prairie Dental Partners LLC's NPI number?

The NPI number for Prairie Dental Partners LLC is 1669935193. It was assigned to this organization in the NPPES registry on April 11, 2019.

Where is Prairie Dental Partners LLC located?

Prairie Dental Partners LLC is located at 4746 Main St, Lisle, IL 60532. The listed phone number is (630) 968-5078.

What is Prairie Dental Partners LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Prairie Dental Partners LLC was last updated on April 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.