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SHADY OAK DENTAL - BYRON DENTAL LLC
NPI 1871463760
Clinic/Center - Dental in Byron, IL

Active since November 06, 2025
503 W BLACKHAWK DR, BYRON, IL 61010(309) 369-3284 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shady Oak Dental - Byron Dental Llc NPPES

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

SHADY OAK DENTAL - BYRON DENTAL LLC (NPI 1871463760) is a healthcare organization registered as a dental in Byron, Illinois and active in the NPI registry since November 2025. The organization lists Scott Bares, President, as its authorized official.

NPPES Registry Identity

NPI1871463760
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSHADY OAK DENTAL - BYRON DENTAL LLC
Location Address503 W BLACKHAWK DRByron, IL 61010-9647
Mailing Address1342 S Harlem AveFreeport, IL 61032-6231 · (309) 369-3284
Phone(309) 369-3284
Organization SubpartNo
Authorized OfficialScott BaresPresident · (815) 275-2680
Enumeration DateNovember 6, 2025
NPPES CertifiedNovember 6, 2025
✔ NPI 1871463760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
503 W BLACKHAWK DR, Byron, IL 61010
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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 Shady Oak Dental - Byron Dental LLC's NPI number?

The NPI number for Shady Oak Dental - Byron Dental LLC is 1871463760. It was assigned to this organization in the NPPES registry on November 6, 2025.

Where is Shady Oak Dental - Byron Dental LLC located?

Shady Oak Dental - Byron Dental LLC is located at 503 W Blackhawk Dr, Byron, IL 61010. The listed phone number is (309) 369-3284.

What is Shady Oak Dental - Byron Dental LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Shady Oak Dental - Byron Dental LLC was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.