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PREMIER FAMILY DENTAL
NPI 1932089513
Dentist - General Practice in Manteno, IL

Active since September 04, 2025
190 MARQUETTE PL S, MANTENO, IL 60950(815) 468-3020 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Premier Family Dental NPPES

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

PREMIER FAMILY DENTAL (NPI 1932089513) is a healthcare organization registered as a general practice in Manteno, Illinois and active in the NPI registry since September 2025. The organization lists Todd Miller, Dentist, as its authorized official.

NPPES Registry Identity

NPI1932089513
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePREMIER FAMILY DENTAL
Location Address190 MARQUETTE PL SManteno, IL 60950-3721
Mailing Address1922 Edwardsville Club Plaza CtEdwardsville, IL 62025-3717 · (815) 474-7655
Phone(815) 468-3020
Organization SubpartNo
Authorized OfficialTodd MillerDentist · (815) 468-3020
Enumeration DateSeptember 4, 2025
NPPES CertifiedSeptember 4, 2025
✔ NPI 1932089513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
190 MARQUETTE PL S, Manteno, IL 60950
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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

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

DR. TODD D MILLER D.M.D.
Dentist (General Practice)
190 MARQUETTE PL S
MANTENO, IL 60950
Kankakee County (815) 468-3020

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 Family Dental's NPI number?

The NPI number for Premier Family Dental is 1932089513. It was assigned to this organization in the NPPES registry on September 4, 2025.

Where is Premier Family Dental located?

Premier Family Dental is located at 190 Marquette Pl S, Manteno, IL 60950. The listed phone number is (815) 468-3020.

What is Premier Family Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Premier Family Dental was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.