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

Glen Ellyn Family Dental Care

Organization Dentist · NPI 1487731808

Glen Ellyn Family Dental Care provides Dentist services in Glen Ellyn, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
Specialties on file
3

Practice location Address checks out

658 Roosevelt Rd
Glen Ellyn, IL 60137 Not confirmed with CMS for 14 years — call before visiting
Phone: (630) 858-0216
Fax: (630) 858-0022
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 019019339 (IL)
Dentist Taxonomy 122300000X · Licence 019023247 (IL)
Dentist Taxonomy 122300000X · Licence 019021405 (IL)

Record details

NPI number1487731808
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Debbie Sansone — Office Manager · (630) 858-0216
Other names Dr Theresa M Jansky Dds
NPI enumeratedNovember 1, 2006
Last updated in NPPESFebruary 15, 2012
Mailing address658 Roosevelt Rd, Glen Ellyn, IL 60137

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