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Lagrange Park Dentistry PC

Dental Clinic/Center in La Grange Park, IL · enumerated 2025 · authorized official Ryan Peterson, President/Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114803822

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Registry record

Entity type Organization (Type 2)
Legal business name Lagrange Park Dentistry PC
Practice address 360 Sherwood Rd, La Grange Park, IL, 60526
Phone (708) 354-7363
Enumeration date Aug 15, 2025
Last updated in NPPES Aug 15, 2025

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Ryan Peterson
Title President/Owner
Phone (708) 846-3436

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Lagrange Park Dentistry PC?
The NPI for Lagrange Park Dentistry PC is 1114803822, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Lagrange Park Dentistry PC?
NPPES lists Ryan Peterson (President/Owner) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-08-15.