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PEBBLEWOOD DENTAL
NPI 1760977078
Dentist in Naperville, IL

Active since June 28, 2018
1550 N ROUTE 59 STE 148, NAPERVILLE, IL 60563(630) 369-6222 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 28, 2018 (2 updates tracked since 2018).

About Pebblewood Dental NPPES

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

PEBBLEWOOD DENTAL (NPI 1760977078) is a healthcare organization registered as a dentist in Naperville, Illinois and active in the NPI registry since June 2018. The organization lists Larissa Navarro, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1760977078
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NamePEBBLEWOOD DENTAL
Location Address1550 N ROUTE 59 STE 148Naperville, IL 60563-0152
Mailing Address1550 N Route 59 Ste 148Naperville, IL 60563-0152 · (630) 369-6222
Phone(630) 369-6222
Organization SubpartNo
Authorized OfficialLarissa NavarroOwner/dentist · (630) 369-6222
Enumeration DateJune 28, 2018
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1760977078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IL · 019026759
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1550 N ROUTE 59 STE 148, Naperville, IL 60563
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Other Names 1

Doing Business AsPebblewood Dental

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

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 Pebblewood Dental's NPI number?

The NPI number for Pebblewood Dental is 1760977078. It was assigned to this organization in the NPPES registry on June 28, 2018.

Where is Pebblewood Dental located?

Pebblewood Dental is located at 1550 N Route 59 Ste 148, Naperville, IL 60563. The listed phone number is (630) 369-6222.

What is Pebblewood Dental's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Pebblewood Dental was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.