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ANTIOCH DENTAL CENTRE PC
NPI 1972368116
Clinic/Center - Dental in Antioch, IL

Active since February 16, 2024
439 LAKE ST, ANTIOCH, IL 60002(847) 395-3250 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Antioch Dental Centre Pc NPPES

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

ANTIOCH DENTAL CENTRE PC (NPI 1972368116) is a healthcare organization registered as a dental in Antioch, Illinois and active in the NPI registry since February 2024. The organization lists Kenneth Arthur Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1972368116
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameANTIOCH DENTAL CENTRE PC
Location Address439 LAKE STAntioch, IL 60002-1405
Mailing Address439 Lake StAntioch, IL 60002-1405 · (847) 395-3250
Phone(847) 395-3250
Organization SubpartNo
Authorized OfficialKenneth Arthur JohnsonPresident · (847) 395-3250
Enumeration DateFebruary 16, 2024
Last NPPES UpdateMarch 7, 2024
NPPES CertifiedMarch 7, 2024
✔ NPI 1972368116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
439 LAKE ST, Antioch, IL 60002
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Other Providers at the Same Location NPPES 3

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

DR. LORELEI LYNNE GRISE' D.D.S.
Dentist (Periodontics)
439 LAKE ST
ANTIOCH, IL 60002
Lake County (847) 395-3250
DR. DONALD LEE BENNETT D.D.S.
Dentist (General Practice)
439 LAKE ST
ANTIOCH, IL 60002
Lake County (847) 395-3250
DONALD L BENNETT, D.D.S., P.C.
Clinic/Center (Dental)
439 LAKE ST
ANTIOCH, IL 60002
Lake County (847) 395-3250

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 Antioch Dental Centre PC's NPI number?

The NPI number for Antioch Dental Centre PC is 1972368116. It was assigned to this organization in the NPPES registry on February 16, 2024.

Where is Antioch Dental Centre PC located?

Antioch Dental Centre PC is located at 439 Lake St, Antioch, IL 60002. The listed phone number is (847) 395-3250.

What is Antioch Dental Centre PC'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 Antioch Dental Centre PC was last updated on March 7, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.