Maple Shade Dental Group

Maple Shade Dental Group is a healthcare organization registered as Oral and Maxillofacial Surgery (Dentist) in Dunlap, IL, holding Type 2 (organization) NPI 1427116854 since 2006. The authorized official on file is Rodney Willey, Ceo.

✓ Active NPI ✓ Valid NPI checksum

NPI	1427116854
Entity type	Organization (Type 2)
Legal business name	Maple Shade Dental Group
Practice address	11825 N KNOXVILLE AVE, Dunlap, IL, 61525
Phone	3092437702
Fax	3092439559
Enumeration date	2006-12-05
Last updated in NPPES	2025-09-11

Authorized official

Name	Rodney Willey
Title	Ceo
Phone	3092437702

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
1223G0001X	General Practice Dentistry	Secondary	—	—
1223P0300X	Periodontics	Secondary	—	—
1223S0112X	Oral and Maxillofacial Surgery (Dentist)	Primary	—	—

Copy-ready billing details

Provider: Maple Shade Dental Group
NPI: 1427116854
Taxonomy: 1223S0112X (Oral and Maxillofacial Surgery (Dentist))
Address: 11825 N KNOXVILLE AVE, Dunlap, IL, 61525

Providers at this address

NPI	Name	Type	Specialty	Location
1417123076	Facial Cosmetic & Reconstructive Surgery, Sc	Organization	Oral and Maxillofacial Surgery Clinic/Center	Dunlap, IL
1033735089	Trevor Richmond	Individual	Periodontics	Dunlap, IL

Verify this record

Cross-check NPI 1427116854 against the authoritative CMS record: view Maple Shade Dental Group 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

Where is Maple Shade Dental Group located?

The practice location on file with NPPES is in Dunlap, IL.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-09-11. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-09-11.