Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Associated Dental Specialists of Long Grove Ltd

Organization Pediatric Dentistry · NPI 1033383567

Associated Dental Specialists of Long Grove Ltd provides Pediatric Dentistry in Long Grove, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

Rfd 4160 Grove Medical Ctr Ste 308
Long Grove, IL 60047-9586 Not confirmed with CMS for 18 years — call before visiting
Phone: (847) 634-6166
Fax: (846) 634-6302
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 060.003411019.021533 (IL)

Record details

NPI number1033383567
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Cannon — President · (847) 634-6166
NPI enumeratedApril 16, 2008
Last updated in NPPESApril 16, 2008
Mailing addressRfd 4160, Grove Medical Center Suite 308, Long Grove, IL 60047-9586

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