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Professional Dental Alliance of Grove Dental Specialty LLC

Dental Clinic/Center in Bolingbrook, IL · enumerated 2020 · authorized official Amanda Kurtz, Credentialing Specialist.

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

National Provider Identifier

1215563762

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Registry record

Entity type Organization (Type 2)
Legal business name Professional Dental Alliance of Grove Dental Specialty LLC
Other name <Unavail>
Practice address 160 E Boughton Rd, Bolingbrook, IL, 60440
Phone (630) 410-1766
Enumeration date Mar 17, 2020
Last updated in NPPES Apr 28, 2021

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Amanda Kurtz
Title Credentialing Specialist
Phone (724) 698-2058

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 Professional Dental Alliance of Grove Dental Specialty LLC?
The NPI for Professional Dental Alliance of Grove Dental Specialty LLC is 1215563762, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Professional Dental Alliance of Grove Dental Specialty LLC?
NPPES lists Amanda Kurtz (Credentialing Specialist) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-04-28.