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: July 19, 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

The NPI number assigned to this healthcare provider is 1760712855, enumerated as an "organization" on January 12, 2010.

The provider is located at 1196 W BOUGHTON RD BOLINGBROOK, IL 60440 and the phone number is (630) 759-9929.

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

The provider might be accepting Accepts: UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.