MAIN STREET SQUARE DENTAL, LLC
NPI 1720623325
Dentist - General Practice in Downers Grove, IL
About Main Street Square Dental, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAIN STREET SQUARE DENTAL, LLC (NPI 1720623325) is a healthcare organization registered as a general practice in Downers Grove, Illinois and active in the NPI registry since November 2019. The organization lists Robert Peterson, Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Main Street Square Dental, LLC's NPI number?
The NPI number for Main Street Square Dental, LLC is 1720623325. It was assigned to this organization in the NPPES registry on November 7, 2019.
Where is Main Street Square Dental, LLC located?
Main Street Square Dental, LLC is located at 2932 Finley Rd, Downers Grove, IL 60515. The listed phone number is (630) 629-6299.
What is Main Street Square Dental, LLC'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 Main Street Square Dental, LLC was last updated on November 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.