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COLLEGE SQUARE DENTAL
NPI 1760665442
Dentist - General Practice in Lisle, IL

Active since December 17, 2007
6448 COLLEGE RD, LISLE, IL 60532(630) 983-8700 Get Directions Write a Review

NPPES record last updated: April 10, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About College Square Dental NPPES

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

COLLEGE SQUARE DENTAL (NPI 1760665442) is a healthcare organization registered as a general practice in Lisle, Illinois and active in the NPI registry since December 2007. The organization lists Deann Derrico, Business Administrator, as its authorized official.

NPPES Registry Identity

NPI1760665442
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCOLLEGE SQUARE DENTAL
Location Address6448 COLLEGE RDLisle, IL 60532-3290
Mailing Address6448 College RdLisle, IL 60532-3290 · (630) 983-8700
Phone(630) 983-8700
Organization SubpartNo
Authorized OfficialDeann DerricoBusiness Administrator · (630) 983-8700
Enumeration DateDecember 17, 2007
Last NPPES UpdateApril 10, 2018
✔ NPI 1760665442 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 · 019-019814
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.
6448 COLLEGE RD, Lisle, IL 60532
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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.

JAMES L DERRICO DDS
Dentist
6448 COLLEGE RD
LISLE, IL 60532
Dupage County (630) 983-8700
DR. JENNIFER LAUREN BRAMMEIER D.D.S
Dentist
6448 COLLEGE RD
LISLE, IL 60532
Dupage County (630) 983-8700
DR. MATTHEW SCOTT VANBEEK DDS
Dentist (General Practice)
6448 COLLEGE RD
LISLE, IL 60532
Dupage County (630) 983-8700
DR. JAMES LAWRENCE BERGSCHNEIDER D.D.S.
Dentist
6448 COLLEGE RD
LISLE, IL 60532
Dupage County (630) 983-8700

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 College Square Dental's NPI number?

The NPI number for College Square Dental is 1760665442. It was assigned to this organization in the NPPES registry on December 17, 2007.

Where is College Square Dental located?

College Square Dental is located at 6448 College Rd, Lisle, IL 60532. The listed phone number is (630) 983-8700.

What is College Square 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 College Square Dental was last updated on April 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.