1. Home
  2. Directory
  3. Illinois
  4. Downers Grove
  5. Dentist
  6. NPI Profile

D J PROVENZALE & D J PROVENZALE JR
NPI 1710109145
Dentist - General Practice in Downers Grove, IL

Active since May 03, 2007
4336 SARATOGA AVE, DOWNERS GROVE, IL 60515(630) 969-7711(630) 969-7723 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About D J Provenzale & D J Provenzale Jr NPPES

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

D J PROVENZALE & D J PROVENZALE JR (NPI 1710109145) is a healthcare organization registered as a general practice in Downers Grove, Illinois and active in the NPI registry since May 2007. The organization lists Donald J Provenzale, Partner, as its authorized official.

NPPES Registry Identity

NPI1710109145
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameD J PROVENZALE & D J PROVENZALE JR
Location Address4336 SARATOGA AVEDowners Grove, IL 60515
Mailing Address4336 Saratoga AveDowners Grove, IL 60515 · (630) 969-7711 · Fax (630) 969-7723
Phone(630) 969-7711
Fax(630) 969-7723
Organization SubpartNo
Authorized OfficialDonald J ProvenzalePartner · (630) 969-7711
Enumeration DateMay 3, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1710109145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in IL · 19021170✔ Licensed in IL · 19A12314
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.
4336 SARATOGA AVE, Downers Grove, IL 60515
Open in Google Maps ↗

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 3

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

DR. PAMELA J SLANE PHD, LCPC, BC-DMT
Counselor (Mental Health)
4336 SARATOGA AVE
DOWNERS GROVE, IL 60515
Dupage County (330) 221-4712
DR. DONALD JOSEPH PROVENZALE JR. DDS
Dentist
4336 SARATOGA AVE
DOWNERS GROVE, IL 60515
Dupage County (630) 969-7711
JENNIFER BUCKLER L.C.P.C., A.T.R.
Counselor (Professional)
4336 SARATOGA AVE, 2ND FLOOR
DOWNERS GROVE, IL 60515
Dupage County (847) 477-8244

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 D J Provenzale & D J Provenzale Jr's NPI number?

The NPI number for D J Provenzale & D J Provenzale Jr is 1710109145. It was assigned to this organization in the NPPES registry on May 3, 2007.

Where is D J Provenzale & D J Provenzale Jr located?

D J Provenzale & D J Provenzale Jr is located at 4336 Saratoga Ave, Downers Grove, IL 60515. The listed phone number is (630) 969-7711.

What is D J Provenzale & D J Provenzale Jr'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 D J Provenzale & D J Provenzale Jr was last updated on August 22, 2020. 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.