PEDIATRIC DENTAL SPECIALTY ASSOCIATES LTD
NPI 1992863500
Dentist - Pediatric Dentistry in New Lenox, IL

Active since December 05, 2006
315 ALANA DR, NEW LENOX, IL 60451(815) 462-3030(815) 462-4742 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 12, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Pediatric Dental Specialty Associates Ltd NPPES

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

PEDIATRIC DENTAL SPECIALTY ASSOCIATES LTD (NPI 1992863500) is a healthcare organization registered as a pediatric dentistry in New Lenox, Illinois and active in the NPI registry since December 2006. The organization lists Genearnd C Algenio, President, as its authorized official.

NPPES Registry Identity

NPI1992863500
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTAL SPECIALTY ASSOCIATES LTD
Location Address315 ALANA DRNew Lenox, IL 60451-1766
Mailing Address315 Alana DrNew Lenox, IL 60451-1766 · (815) 462-3030 · Fax (815) 462-4742
Fax(815) 462-4742
Organization SubpartNo
Authorized OfficialGenearnd C AlgenioPresident · (815) 462-3030
Enumeration DateDecember 5, 2006
Last NPPES UpdateApril 12, 20222 updates tracked since enumeration
NPPES CertifiedApril 12, 2022
NPI 1992863500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
315 ALANA DR, New Lenox, IL 60451

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

Dentist (Pediatric Dentistry)
315 ALANA DR
NEW LENOX, IL 60451

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 Pediatric Dental Specialty Associates Ltd's NPI number?

The NPI number for Pediatric Dental Specialty Associates Ltd is 1992863500. It was assigned to this organization in the NPPES registry on December 5, 2006.

Where is Pediatric Dental Specialty Associates Ltd located?

Pediatric Dental Specialty Associates Ltd is located at 315 Alana Dr, New Lenox, IL 60451. The listed phone number is (815) 462-3030.

What is Pediatric Dental Specialty Associates Ltd's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Pediatric Dental Specialty Associates Ltd was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.