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DOMINIK DUBRAVEC DDS MMSC PC
NPI 1891309399
Dentist - Periodontics in Kankakee, IL

Active since September 02, 2020
555 W COURT ST STE 202, KANKAKEE, IL 60901(815) 932-0554(815) 932-0976 Get Directions Write a Review

NPPES record last updated: September 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dominik Dubravec Dds Mmsc Pc NPPES

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

DOMINIK DUBRAVEC DDS MMSC PC (NPI 1891309399) is a healthcare organization registered as a periodontics in Kankakee, Illinois and active in the NPI registry since September 2020. The organization lists Dominik Dubravec, Periodontist/owner, as its authorized official.

NPPES Registry Identity

NPI1891309399
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameDOMINIK DUBRAVEC DDS MMSC PC
Location Address555 W COURT ST STE 202Kankakee, IL 60901-3674
Mailing Address555 W Court St Ste 202Kankakee, IL 60901-3674 · (815) 932-0554 · Fax (815) 932-0976
Phone(815) 932-0554
Fax(815) 932-0976
Organization SubpartNo
Authorized OfficialDominik DubravecPeriodontist/owner · (815) 932-0554
Enumeration DateSeptember 2, 2020
NPPES CertifiedSeptember 2, 2020
✔ NPI 1891309399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
555 W COURT ST STE 202, Kankakee, IL 60901
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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 Dominik Dubravec Dds Mmsc PC's NPI number?

The NPI number for Dominik Dubravec Dds Mmsc PC is 1891309399. It was assigned to this organization in the NPPES registry on September 2, 2020.

Where is Dominik Dubravec Dds Mmsc PC located?

Dominik Dubravec Dds Mmsc PC is located at 555 W Court St Ste 202, Kankakee, IL 60901. The listed phone number is (815) 932-0554.

What is Dominik Dubravec Dds Mmsc PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Dominik Dubravec Dds Mmsc PC was last updated on September 2, 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.