Kankakee Dental Pllc

Kankakee Dental Pllc is a healthcare organization registered as Dental Clinic/Center in Kankakee, IL, holding Type 2 (organization) NPI 1780256503 since 2021. The authorized official on file is Kevin Fatland, Member.

✓ Active NPI ✓ Valid NPI checksum

NPI	1780256503
Entity type	Organization (Type 2)
Legal business name	Kankakee Dental Pllc
Practice address	200 E COURT ST STE 504, Kankakee, IL, 60901
Phone	8159323613
Enumeration date	2021-07-12
Last updated in NPPES	2021-07-12

Authorized official

Name	Kevin Fatland
Title	Member
Phone	7089907869

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
261QD0000X	Dental Clinic/Center	Primary	—	—

Copy-ready billing details

Provider: Kankakee Dental Pllc
NPI: 1780256503
Taxonomy: 261QD0000X (Dental Clinic/Center)
Address: 200 E COURT ST STE 504, Kankakee, IL, 60901

Verify this record

Cross-check NPI 1780256503 against the authoritative CMS record: view Kankakee Dental Pllc 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

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2021-07-12. Verify at npiregistry.cms.hhs.gov.

Where is Kankakee Dental Pllc located?

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

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2021-07-12.