ASSOCIATED DENTAL SPECIALISTS OF LONG GROVE LTD – Pediatric Dentistry, NPI 1033383567

ASSOCIATED DENTAL SPECIALISTS OF LONG GROVE LTD is a healthcare provider. based in Long grove, Illinois. specializing in Pediatric Dentistry. The organization holds a License No. 060.003411019.021533 (IL). The NPI Number for ASSOCIATED DENTAL SPECIALISTS OF LONG GROVE LTD is 1033383567

Main info

Organization
Name
ASSOCIATED DENTAL SPECIALISTS OF LONG GROVE LTD
NPI
1033383567
Phone
(847) 634-6166
Address
RFD 4160
Authorized Official
DR. MARK L CANNON PRESIDENT DDS
Enumeration Date
16 April 2008
Last Update Date
16 April 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for ASSOCIATED DENTAL SPECIALISTS OF LONG GROVE LTD

  • 4160, Rfd, Long Grove, Illinois, 60047, United States

    GROVE MEDICAL CENTER SUITE 308

    LONG GROVE, IL 600479586

    Phone: (847) 634-6166

    Fax: (846) 634-6302

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60047)

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Reviews

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Frequently asked questions

What number should I use to identify ASSOCIATED DENTAL SPECIALISTS OF LONG GROVE LTD for billing?
Administrative and clinical systems typically use NPI 1033383567 for ASSOCIATED DENTAL SPECIALISTS OF LONG GROVE LTD.
Should I treat ASSOCIATED DENTAL SPECIALISTS OF LONG GROVE LTD as an active provider?
Patients and plans typically see ASSOCIATED DENTAL SPECIALISTS OF LONG GROVE LTD as active in the national extract.
What does the directory say ASSOCIATED DENTAL SPECIALISTS OF LONG GROVE LTD does?
Insurance directories may phrase it differently, but here ASSOCIATED DENTAL SPECIALISTS OF LONG GROVE LTD maps to Pediatric Dentistry. Clinical services aligned with this taxonomy classification.
What city is tied to ASSOCIATED DENTAL SPECIALISTS OF LONG GROVE LTD?
The directory associates ASSOCIATED DENTAL SPECIALISTS OF LONG GROVE LTD with Long Grove, Illinois. Check all listed addresses for suites or satellite offices.
Who maintains ASSOCIATED DENTAL SPECIALISTS OF LONG GROVE LTD's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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