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

Illinois Dental Providers (Glen Ellyn), Ltd

Organization General Practice Dentistry · NPI 1306217252

Illinois Dental Providers (Glen Ellyn), Ltd provides General Practice Dentistry in Glen Ellyn, Illinois. Registered with an NPI since 2015.

In the registry since
2015
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

701 Roosevelt Rd
Glen Ellyn, IL 60137-5805
Phone: (630) 790-8430
Fax: (216) 584-1056
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1306217252
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationDentalone Partners, Inc
Authorized official Rachel Nittinger — Manager Credentialing · (972) 755-0816
NPI enumeratedOctober 16, 2015
Last updated in NPPESMarch 20, 2018
Mailing address7160 Dallas Pkwy Ste 400, Plano, TX 75024-7111

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