OrganizationActive
Lagrange Dental Management
NPI 1013151901 · General Practice Dentistry · La Grange Park, IL
Lagrange Dental Management is a General Practice Dentistry organization in La Grange Park, IL (NPI 1013151901).
Provider details
- NPI number
- 1013151901
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jonathan Villanueva, Practice Manager(630) 324-6749
- License
- 019022779 (IL)
Practice location
342 Sherwood Rd
La Grange Park, IL 60526-1967
Phone: (708) 482-4610
Fax: (708) 482-0246
Street-level locationGet directions
Mailing address
342 Sherwood Rd
La Grange Park, IL 60526-1967
Registry dates
- Enumerated
- 2009-04-23
- Last updated
- 2009-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.