TWO RIVERS DENTAL
NPI 1760712855
Dentist - General Practice in Bolingbrook, IL

Active since January 12, 2010
1196 W BOUGHTON RD, BOLINGBROOK, IL 60440(630) 759-9929(630) 759-9922 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Two Rivers Dental NPPES

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

TWO RIVERS DENTAL (NPI 1760712855) is a healthcare organization registered as a general practice in Bolingbrook, Illinois and active in the NPI registry since January 2010. The organization lists Sohail S Shafi, Manager, as its authorized official.

NPPES Registry Identity

NPI1760712855
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameTWO RIVERS DENTAL
Location Address1196 W BOUGHTON RDBolingbrook, IL 60440-6567
Mailing Address1730 Park St Ste 106Naperville, IL 60563-2609 · (630) 759-9929 · Fax (630) 759-9922
Fax(630) 759-9922
Organization SubpartNo
Authorized OfficialSohail S ShafiManager · (630) 842-3705
Enumeration DateJanuary 12, 2010
Last NPPES UpdateDecember 10, 2020
NPPES CertifiedDecember 10, 2020
NPI 1760712855 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 · 019024809
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.
1196 W BOUGHTON RD, Bolingbrook, IL 60440

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

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist
1196 W BOUGHTON RD, SUITE J
BOLINGBROOK, IL 60440

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 Two Rivers Dental's NPI number?

The NPI number for Two Rivers Dental is 1760712855. It was assigned to this organization in the NPPES registry on January 12, 2010.

Where is Two Rivers Dental located?

Two Rivers Dental is located at 1196 W Boughton Rd, Bolingbrook, IL 60440. The listed phone number is (630) 759-9929.

What is Two Rivers Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Two Rivers Dental accept?

Health plans from UnitedHealthcare list Two Rivers Dental as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Two Rivers Dental was last updated on December 10, 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.