OrganizationActive
Prairie Dental Partners LLC
NPI 1669935193 · Dentist · Lisle, IL
Prairie Dental Partners LLC is a Dentist organization in Lisle, IL (NPI 1669935193).
Provider details
- NPI number
- 1669935193
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Oscar Gonzalez, Director of Operations(219) 465-8627
Practice location
4746 Main St
Lisle, IL 60532-1724
Phone: (630) 968-5078
Street-level locationGet directions
Mailing address
4746 Main St
Lisle, IL 60532-1724
Registry dates
- Enumerated
- 2019-04-11
- Last updated
- 2019-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.