OrganizationActive
Professional Dental Specialties
NPI 1417757915 · Periodontics · Frankfort, IL
Professional Dental Specialties is a Periodontics organization in Frankfort, IL (NPI 1417757915).
Provider details
- NPI number
- 1417757915
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Amanda Piche, Owner(319) 389-7177
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
20635 Abbey Woods Ct N Ste 203
Frankfort, IL 60423-3186
Phone: (815) 464-3001
Street-level locationGet directions
Mailing address
17236 Munster Ln
Tinley Park, IL 60477-4608
Other names (DBA / former)
- Doing business as
- Amanda Piche DDS, Dominik Dubravec DDS
Additional practice locations (2)
- 555 W Court St Ste 202Kankakee, IL 60901-3674Phone: (815) 932-0554
- 1900 Spring Rd Ste 205Oak Brook, IL 60523-1479Phone: (630) 573-0369
Registry dates
- Enumerated
- 2025-03-14
- Last updated
- 2026-01-29
- Certified
- 2026-01-29
Frequently asked questions
- What is Professional Dental Specialties's NPI number?
- Professional Dental Specialties's National Provider Identifier (NPI) is 1417757915, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Professional Dental Specialties?
- Professional Dental Specialties is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Professional Dental Specialties located?
- Professional Dental Specialties's practice location on file with NPPES is 20635 Abbey Woods Ct N Ste 203, Frankfort, IL 60423-3186.
- What is Professional Dental Specialties's phone number?
- The practice phone number listed in the NPPES registry for Professional Dental Specialties is (815) 464-3001.
- Who is the authorized official for Professional Dental Specialties?
- The authorized official listed on Professional Dental Specialties's NPPES record is Amanda Piche, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Professional Dental Specialties's NPI active?
- Yes — Professional Dental Specialties's NPI (1417757915) is active in the NPPES registry as of the last update on 2026-01-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.