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PREMIER DENTAL GROUP PERSONAL CORPORATION
NPI 1801583570
Clinic/Center - Dental in Wheaton, IL

Active since April 21, 2023
300 S WEST ST, WHEATON, IL 60187(630) 665-0650(708) 484-0843 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Premier Dental Group Personal Corporation NPPES

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

PREMIER DENTAL GROUP PERSONAL CORPORATION (NPI 1801583570), doing business as West Willow Family Dental, is a healthcare organization registered as a dental in Wheaton, Illinois and active in the NPI registry since April 2023. The organization lists Anthony Amodio Brucci, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1801583570
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NamePREMIER DENTAL GROUP PERSONAL CORPORATION
Location Address300 S WEST STWheaton, IL 60187-5021
Mailing Address183 N Addison Ave Apt 216Elmhurst, IL 60126-3195
Phone(630) 665-0650
Fax(708) 484-0843
Organization SubpartNo
Authorized OfficialAnthony Amodio BrucciDentist/owner · (708) 308-9929
Enumeration DateApril 21, 2023
Last NPPES UpdateApril 25, 2023
NPPES CertifiedApril 25, 2023
✔ NPI 1801583570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Also ListedDentistTaxonomy 122300000X
Also ListedDentist · General PracticeTaxonomy 1223G0001X
300 S WEST ST, Wheaton, IL 60187
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Other Names 1

Doing Business AsWest Willow Family Dental

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 2

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

DR. CHARLES RUSSELL SHOWALTER DDS
Dentist (General Practice)
300 S WEST ST
WHEATON, IL 60187
Dupage County (630) 665-0650
DR. RAYMOND JELENIAUSKAS D.D.S.
Dentist
300 S WEST ST
WHEATON, IL 60187
Dupage County (630) 665-0650

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 Premier Dental Group Personal Corporation's NPI number?

The NPI number for Premier Dental Group Personal Corporation is 1801583570. It was assigned to this organization in the NPPES registry on April 21, 2023. The provider is doing business as West Willow Family Dental.

Where is Premier Dental Group Personal Corporation located?

Premier Dental Group Personal Corporation is located at 300 S West St, Wheaton, IL 60187. The listed phone number is (630) 665-0650.

What is Premier Dental Group Personal Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Premier Dental Group Personal Corporation accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Premier Dental Group Personal Corporation 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 Premier Dental Group Personal Corporation was last updated on April 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.