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Heritage Dental

General Practice Dentistry in Antioch, IL · enumerated 2007 · authorized official Kenneth Jazdzewski, Officer of Corporation.

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

National Provider Identifier

1356490700

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Registry record

Entity type Organization (Type 2)
Legal business name Heritage Dental
Practice address 800 Main St, Antioch, IL, 60002
Phone (847) 395-1461
Fax (847) 395-9255
Enumeration date Jan 8, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Primary

Authorized official

Name Kenneth Jazdzewski
Title Officer of Corporation
Phone (847) 395-1461

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 a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Heritage Dental?
Heritage Dental is registered in NPPES as a General Practice Dentistry (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.