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

Greenleaf Orthodontics - Park City LLC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1962375428

Greenleaf Orthodontics - Park City LLC provides Orthodontics and Dentofacial Orthopedics Dentistry in Park City, Illinois. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

355 Greenleaf St Ste D
Park City, IL 60085-5708
Phone: (262) 758-6038
Fax: (888) 475-7136
Show map & directions

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

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X

Record details

NPI number1962375428
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Lablonde — Owner · (317) 965-0810
NPI enumeratedSeptember 29, 2025
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025
Mailing address355 Greenleaf St Ste D, Park City, IL 60085-5708