MAPLE SHADE DENTAL (DUNLAP) LLC – Dentist, NPI 1134416795

MAPLE SHADE DENTAL (DUNLAP) LLC is a healthcare provider. based in Dunlap, Illinois. specializing in Dentist. The NPI Number for MAPLE SHADE DENTAL (DUNLAP) LLC is 1134416795

Main info

Organization
Name
MAPLE SHADE DENTAL (DUNLAP) LLC
NPI
1134416795
Phone
(309) 243-7702
Address
11825 STATE ROUTE 40
Authorized Official
MIKE COLE INSURANCE DIRECTOR
Enumeration Date
5 July 2011
Last Update Date
18 March 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:14State licenses:0Digital endpointsOther names

Provider Addresses for MAPLE SHADE DENTAL (DUNLAP) LLC

  • 11825 STATE ROUTE 40

    SUITE 200

    DUNLAP, IL 615258842

    Phone: (309) 243-7702

    Fax: (309) 243-9061

    Type: Location

  • 6240 LAKE OSPREY DR DEPT 56058

    LAKEWOOD RANCH, FL 342408421

    Phone:

    Type: Mailing

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

Source: CMS public data · Not endorsed by CMS ·

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)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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 61525)

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Reviews

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Frequently asked questions

What is the standard ID for MAPLE SHADE DENTAL (DUNLAP) LLC in the U.S.?
In the U.S., MAPLE SHADE DENTAL (DUNLAP) LLC is identified by NPI 1134416795.
Is MAPLE SHADE DENTAL (DUNLAP) LLC currently accepting referrals based on NPI status?
Registry metadata lists MAPLE SHADE DENTAL (DUNLAP) LLC as active.
Which specialty label fits MAPLE SHADE DENTAL (DUNLAP) LLC?
NPPES ties MAPLE SHADE DENTAL (DUNLAP) LLC to Dentist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit MAPLE SHADE DENTAL (DUNLAP) LLC in Dunlap, Illinois?
For routing, start with Dunlap, Illinois for MAPLE SHADE DENTAL (DUNLAP) LLC, then verify phone and hours locally.
Can I export MAPLE SHADE DENTAL (DUNLAP) LLC's record?
You can download the official NPPES record; we summarize key fields for readability.

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