Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Countryside Dental Group, PC

Organization General Practice Dentistry · NPI 1265812507

Countryside Dental Group, PC provides General Practice Dentistry in Countryside, Illinois. Licensed in Illinois. Registered with an NPI since 2015.

Licensed in
IL
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

6335 Joliet Rd 200
Countryside, IL 60525-7427 Not confirmed with CMS for 11 years — call before visiting
Phone: (708) 352-1830
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019028019 (IL)

Record details

NPI number1265812507
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leila Shahbandar — President · (312) 498-2937
NPI enumeratedJune 2, 2015
Last updated in NPPESAugust 19, 2015
Mailing address6335 Joliet Rd Ste 200, Countryside, IL 60525-3986

Other providers in Countryside