GREENLEAF ORTHODONTICS - PARK CITY LLC
NPI 1962375428
Dentist - Orthodontics and Dentofacial Orthopedics in Park City, IL

Active since September 29, 2025
355 GREENLEAF ST STE D, PARK CITY, IL 60085(262) 758-6038(888) 475-7136 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Greenleaf Orthodontics - Park City Llc NPPES

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

GREENLEAF ORTHODONTICS - PARK CITY LLC (NPI 1962375428) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Park City, Illinois and active in the NPI registry since September 2025. The organization lists Brian Patrick Lablonde, Owner, as its authorized official.

NPPES Registry Identity

NPI1962375428
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameGREENLEAF ORTHODONTICS - PARK CITY LLC
Location Address355 GREENLEAF ST STE DPark City, IL 60085-5708
Mailing Address355 Greenleaf St Ste DPark City, IL 60085-5708 · (262) 758-6038 · Fax (888) 475-7136
Fax(888) 475-7136
Organization SubpartNo
Authorized OfficialBrian Patrick LablondeOwner · (317) 965-0810
Enumeration DateSeptember 29, 2025
Last NPPES UpdateOctober 6, 2025
NPPES CertifiedOctober 6, 2025
NPI 1962375428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
355 GREENLEAF ST STE D, Park City, IL 60085

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 Greenleaf Orthodontics - Park City LLC's NPI number?

The NPI number for Greenleaf Orthodontics - Park City LLC is 1962375428. It was assigned to this organization in the NPPES registry on September 29, 2025.

Where is Greenleaf Orthodontics - Park City LLC located?

Greenleaf Orthodontics - Park City LLC is located at 355 Greenleaf St Ste D, Park City, IL 60085. The listed phone number is (262) 758-6038.

What is Greenleaf Orthodontics - Park City LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Greenleaf Orthodontics - Park City LLC was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.