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ILLIANA ENDODONTICS, P.C.
NPI 1912070228
Dentist - Endodontics in Dyer, IN

Active since November 16, 2006
934 RICHARD RD, DYER, IN 46311(219) 865-9790(708) 755-2027 Get Directions Write a Review

NPPES record last updated: April 24, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 24, 2026, Aug 22, 2020 (2 updates tracked since 2020).

About Illiana Endodontics, P.c. NPPES

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

ILLIANA ENDODONTICS, P.C. (NPI 1912070228) is a healthcare organization registered as an endodontics in Dyer, Indiana and active in the NPI registry since November 2006. The organization lists Michael John Mintz, President, as its authorized official.

NPPES Registry Identity

NPI1912070228
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameILLIANA ENDODONTICS, P.C.
Location Address934 RICHARD RDDyer, IN 46311-1936
Mailing Address934 Richard RdDyer, IN 46311-1936 · (219) 865-9790 · Fax (708) 755-2027
Phone(219) 865-9790
Fax(708) 755-2027
Organization SubpartNo
Authorized OfficialMichael John MintzPresident · (708) 755-2021
Enumeration DateNovember 16, 2006
Last NPPES UpdateApril 24, 20262 updates tracked since enumeration
NPPES CertifiedApril 24, 2026
✔ NPI 1912070228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in IL · 021001405
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
934 RICHARD RD, Dyer, IN 46311
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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

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. MICHAEL JOHN MINTZ DDS
Dentist (Endodontics)
934 RICHARD RD
DYER, IN 46311
Lake County (219) 865-9790
DR. JOHN JACOB KUSSMAUL JR. D.D.S.
Dentist (Endodontics)
934 RICHARD RD
DYER, IN 46311
Lake County (219) 865-9790

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 Illiana Endodontics, P.C.'s NPI number?

The NPI number for Illiana Endodontics, P.C. is 1912070228. It was assigned to this organization in the NPPES registry on November 16, 2006.

Where is Illiana Endodontics, P.C. located?

Illiana Endodontics, P.C. is located at 934 Richard Rd, Dyer, IN 46311. The listed phone number is (219) 865-9790.

What is Illiana Endodontics, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

When was this NPI record last updated?

The NPPES record for Illiana Endodontics, P.C. was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.