Professional Dental Alliance of Grove Dental LLC
NPI 1417583592 · Dental Clinic/Center · Bolingbrook, IL
Professional Dental Alliance of Grove Dental LLC is a Dental Clinic/Center organization in Bolingbrook, IL (NPI 1417583592).
Provider details
- NPI number
- 1417583592
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amanda Kurtz, Credentialing Specialist(724) 698-2058
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Grove Dental
- Doing business as
- Grove Dental
Registry dates
- Enumerated
- 2020-03-20
- Last updated
- 2021-04-29
- Certified
- 2021-04-29
Frequently asked questions
- What is Professional Dental Alliance of Grove Dental LLC's NPI number?
- Professional Dental Alliance of Grove Dental LLC's National Provider Identifier (NPI) is 1417583592, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Professional Dental Alliance of Grove Dental LLC?
- Professional Dental Alliance of Grove Dental LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Professional Dental Alliance of Grove Dental LLC located?
- Professional Dental Alliance of Grove Dental LLC's practice location on file with NPPES is 160 E Boughton Rd, Bolingbrook, IL 60440-2014.
- What is Professional Dental Alliance of Grove Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Professional Dental Alliance of Grove Dental LLC is (630) 759-8940.
- Who is the authorized official for Professional Dental Alliance of Grove Dental LLC?
- The authorized official listed on Professional Dental Alliance of Grove Dental LLC's NPPES record is Amanda Kurtz, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Professional Dental Alliance of Grove Dental LLC's NPI active?
- Yes — Professional Dental Alliance of Grove Dental LLC's NPI (1417583592) is active in the NPPES registry as of the last update on 2021-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.