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: July 19, 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
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

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.

Dentist
110 E WASHINGTON ST
MARENGO, IL 60152
Dentist
110 E WASHINGTON ST
MARENGO, IL 60152
Dentist (General Practice)
110 E WASHINGTON ST
MARENGO, IL 60152
Dentist
110 E WASHINGTON ST
MARENGO, IL 60152

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1760608731, enumerated as an "organization" on April 18, 2007.

The provider is located at 110 E WASHINGTON ST MARENGO, IL 60152 and the phone number is (815) 568-1202.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.