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LAVENDER ROSE DENTAL
NPI 1902412158
Clinic/Center - Dental in Chenoa, IL

Active since September 22, 2020
333 N MOREHEAD ST, CHENOA, IL 61726(815) 945-7808 Get Directions Write a Review

NPPES record last updated: September 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lavender Rose Dental NPPES

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

LAVENDER ROSE DENTAL (NPI 1902412158) is a healthcare organization registered as a dental in Chenoa, Illinois and active in the NPI registry since September 2020. The organization lists Shima Phoenix, Dentist, as its authorized official.

NPPES Registry Identity

NPI1902412158
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameLAVENDER ROSE DENTAL
Location Address333 N MOREHEAD STChenoa, IL 61726-1001
Mailing Address333 N Morehead StChenoa, IL 61726-1001
Phone(815) 945-7808
Organization SubpartNo
Authorized OfficialShima PhoenixDentist · (575) 840-4838
Enumeration DateSeptember 22, 2020
NPPES CertifiedSeptember 22, 2020
✔ NPI 1902412158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
333 N MOREHEAD ST, Chenoa, IL 61726
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Other Providers at the Same Location NPPES

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

DR. ROBERT A. TRIPKE D.M.D.
Dentist
333 N MOREHEAD ST
CHENOA, IL 61726
McLean County (815) 945-7808

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 Lavender Rose Dental's NPI number?

The NPI number for Lavender Rose Dental is 1902412158. It was assigned to this organization in the NPPES registry on September 22, 2020.

Where is Lavender Rose Dental located?

Lavender Rose Dental is located at 333 N Morehead St, Chenoa, IL 61726. The listed phone number is (815) 945-7808.

What is Lavender Rose Dental'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 Lavender Rose Dental was last updated on September 22, 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.