ELITE DENTAL PARTNERS
NPI 1962961672
Clinic/Center - Dental in Chicago, IL

Active since March 13, 2019
141 W JACKSON BLVD, CHICAGO, IL 60604(312) 937-3619 Get Directions Write a Review

NPPES record last updated: September 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 16, 2019, Mar 13, 2019 (2 updates tracked since 2019).

About Elite Dental Partners NPPES

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

ELITE DENTAL PARTNERS (NPI 1962961672) is a healthcare organization registered as a dental in Chicago, Illinois and active in the NPI registry since March 2019. The organization maintains a secondary practice location in Neenah and lists Roseanne Brunenkant, Director Of Integrations, as its authorized official.

NPPES Registry Identity

NPI1962961672
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameEDP OF WISCONSIN, SC
Location Address141 W JACKSON BLVDChicago, IL 60604-2992
Mailing Address141 W Jackson Blvd Ste 210Chicago, IL 60604-3048 · (312) 937-3619
Organization SubpartYes
Authorized OfficialRoseanne BrunenkantDirector Of Integrations · (312) 937-3619
Enumeration DateMarch 13, 2019
Last NPPES UpdateSeptember 16, 20192 updates tracked since enumeration
NPI 1962961672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
141 W JACKSON BLVD, Chicago, IL 60604

Other Names 2

Doing Business AsElite Dental Partners
Doing Business AsParkside West Dental

Secondary Practice Location 1

Location 1655 Deerwood AveNeenah, WI 54956-1629 · Phone (312) 800-1270

Other Providers at the Same Location NPPES 15

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

Dentist (General Practice)
141 W JACKSON BLVD, SUITE 3632
CHICAGO, IL 60604
Chiropractor
141 W JACKSON BLVD, SUITE A20
CHICAGO, IL 60604
Dentist (General Practice)
141 W JACKSON BLVD, SUITE 2515
CHICAGO, IL 60604
Dentist (General Practice)
141 W JACKSON BLVD, #3632
CHICAGO, IL 60604
Chiropractor
141 W JACKSON BLVD, SUITE A 20
CHICAGO, IL 60604
Technician/Technologist
141 W JACKSON BLVD
CHICAGO, IL 60604
Optometrist
141 W JACKSON BLVD
CHICAGO, IL 60604
Optometrist
141 W JACKSON BLVD
CHICAGO, IL 60604

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 Edp Of Wisconsin, Sc's NPI number?

The NPI number for Edp Of Wisconsin, Sc is 1962961672. It was assigned to this organization in the NPPES registry on March 13, 2019. The provider is doing business as Elite Dental Partners and Parkside West Dental.

Where is Edp Of Wisconsin, Sc located?

Edp Of Wisconsin, Sc is located at 141 W Jackson Blvd, Chicago, IL 60604. The listed phone number is (312) 937-3619.

What is Edp Of Wisconsin, Sc'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 Edp Of Wisconsin, Sc was last updated on September 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.