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MARENGO DENTAL
NPI 1760608731
Dentist - General Practice in Marengo, IL

Active since April 18, 2007
110 E WASHINGTON ST, MARENGO, IL 60152(815) 568-1202 Get Directions Write a Review

NPPES record last updated: September 9, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marengo Dental NPPES

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

MARENGO DENTAL (NPI 1760608731) is a healthcare organization registered as a general practice in Marengo, Illinois and active in the NPI registry since April 2007. The organization lists Gary Dettman, President, as its authorized official.

NPPES Registry Identity

NPI1760608731
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMARENGO DENTAL
Location Address110 E WASHINGTON STMarengo, IL 60152-3107
Mailing Address110 E Washington StMarengo, IL 60152-3107 · (815) 568-1202
Phone(815) 568-1202
Organization SubpartNo
Authorized OfficialGary DettmanPresident · (815) 568-1202
Enumeration DateApril 18, 2007
Last NPPES UpdateSeptember 9, 2008
✔ NPI 1760608731 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 · 019-020199
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.
110 E WASHINGTON ST, Marengo, IL 60152
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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

Other Providers at the Same Location NPPES 4

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

DR. MARTHA K BASILE DDS
Dentist
110 E WASHINGTON ST
MARENGO, IL 60152
McHenry County (815) 568-1202
LILIANA PAZ DDS PLLC
Dentist (General Practice)
110 E WASHINGTON ST
MARENGO, IL 60152
McHenry County (815) 568-1202
DR. LILIANA PAZ DDS
Dentist
110 E WASHINGTON ST
MARENGO, IL 60152
McHenry County (815) 568-1202
DR. GARY R DETTMAN DDS
Dentist
110 E WASHINGTON ST
MARENGO, IL 60152
McHenry County (815) 568-1202

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 Marengo Dental's NPI number?

The NPI number for Marengo Dental is 1760608731. It was assigned to this organization in the NPPES registry on April 18, 2007.

Where is Marengo Dental located?

Marengo Dental is located at 110 E Washington St, Marengo, IL 60152. The listed phone number is (815) 568-1202.

What is Marengo Dental'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 Marengo Dental was last updated on September 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.