Maple Shade Dental (Dunlap) LLC
Maple Shade Dental (Dunlap) LLC is a healthcare organization registered as Dentist in Dunlap, IL, holding Type 2 (organization) NPI 1134416795 since 2011. The authorized official on file is Mike Cole, Insurance Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1134416795 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Maple Shade Dental (Dunlap) LLC |
| Practice address | 11825 STATE ROUTE 40, SUITE 200, Dunlap, IL, 61525 |
| Phone | 3092437702 |
| Fax | 3092439061 |
| Enumeration date | 2011-07-05 |
| Last updated in NPPES | 2024-03-18 |
Authorized official
| Name | Mike Cole |
|---|---|
| Title | Insurance Director |
| Phone | 7277261611 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | — | — |
Copy-ready billing details
Provider: Maple Shade Dental (Dunlap) LLC NPI: 1134416795 Taxonomy: 122300000X (Dentist) Address: 11825 STATE ROUTE 40, SUITE 200, Dunlap, IL, 61525
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1598815359 | Timothy Ruffner | Individual | General Practice Dentistry | Dunlap, IL |
| 1891820312 | Mapleshade Vision Center Inc. | Organization | Optometrist | Dunlap, IL |
| 1811028848 | Nizar Merheb | Individual | Oral and Maxillofacial Surgery (Dentist) | Dunlap, IL |
| 1144409806 | Rodney Willey | Individual | Dentist | Dunlap, IL |
| 1417138421 | Erin Shanahan | Individual | Dentist | Dunlap, IL |
| 1255512273 | George Duncan | Individual | Dentist | Dunlap, IL |
| 1356597488 | Manlio Zuniga | Individual | Prosthodontics | Dunlap, IL |
| 1740518380 | Illinois Institute of Dental Sleep Medicine Inc | Organization | Dentist | Dunlap, IL |
Verify this record
Cross-check NPI 1134416795 against the authoritative CMS record: view Maple Shade Dental (Dunlap) LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Maple Shade Dental (Dunlap) LLC?
What is the NPI number for Maple Shade Dental (Dunlap) LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-03-18.