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INNOVATIVE ORTHODONTICS
NPI 1700207594
Dentist - General Practice in Joliet, IL

Active since December 20, 2013
1000 W JEFFERSON ST STE 101, JOLIET, IL 60435(814) 727-5813 Get Directions Write a Review

NPPES record last updated: December 23, 2013. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Innovative Orthodontics NPPES

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

INNOVATIVE ORTHODONTICS (NPI 1700207594) is a healthcare organization registered as a general practice in Joliet, Illinois and active in the NPI registry since December 2013. The organization lists John Alvan Gordon, Treasurer, as its authorized official.

NPPES Registry Identity

NPI1700207594
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameINNOVATIVE ORTHODONTICS
Location Address1000 W JEFFERSON ST STE 101Joliet, IL 60435-6812
Mailing Address1905 Marketview Dr Unit 274Yorkville, IL 60560-1896 · (630) 878-0351
Phone(814) 727-5813
Organization SubpartNo
Authorized OfficialJohn Alvan GordonTreasurer · (630) 878-0351
Enumeration DateDecember 20, 2013
Last NPPES UpdateDecember 23, 2013
✔ NPI 1700207594 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 · 019020648
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.
1000 W JEFFERSON ST STE 101, Joliet, IL 60435
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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

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 Innovative Orthodontics's NPI number?

The NPI number for Innovative Orthodontics is 1700207594. It was assigned to this organization in the NPPES registry on December 20, 2013.

Where is Innovative Orthodontics located?

Innovative Orthodontics is located at 1000 W Jefferson St Ste 101, Joliet, IL 60435. The listed phone number is (814) 727-5813.

What is Innovative Orthodontics'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 Innovative Orthodontics was last updated on December 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.