Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Professional Dental Alliance of Illinois Specialty, Pllc

Pediatric Dentistry in Long Grove, IL · enumerated 2023 · authorized official Erica Quinteros, Credentialing.

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

National Provider Identifier

1558145227

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Professional Dental Alliance of Illinois Specialty, Pllc

Other name <Unavail>

Practice address 4160 Il Route 83 Ste 308, Long Grove, IL, 60047

Phone (847) 634-6166

Enumeration date Aug 23, 2023

Last updated in NPPES Dec 13, 2023

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers Secondary

1223P0221X Pediatric Dentistry Dental Providers Primary

1223X0400X Orthodontics and Dentofacial Orthopedics Dentistry Dental Providers Secondary

Authorized official

Name Erica Quinteros

Title Credentialing

Phone (724) 901-1964

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 → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-12-13. Verify at npiregistry.cms.hhs.gov.

Where is Professional Dental Alliance of Illinois Specialty, Pllc located?

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

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-12-13.