Pediatric Dentistry Ltd
Pediatric Dentistry Ltd is a healthcare organization registered as Dental Clinic/Center in Elgin, IL, holding Type 2 (organization) NPI 1952454878 since 2007. The authorized official on file is Dale Nickelsen, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1952454878 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pediatric Dentistry Ltd |
| Practice address | 860 SUMMIT ST, SUITE 246, Elgin, IL, 60120 |
| Phone | 8476951693 |
| Fax | 8476959212 |
| Enumeration date | 2007-01-22 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Dale Nickelsen |
|---|---|
| Title | President |
| Phone | 8476951693 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QD0000X | Dental Clinic/Center | Primary | — | IL |
Copy-ready billing details
Provider: Pediatric Dentistry Ltd NPI: 1952454878 Taxonomy: 261QD0000X (Dental Clinic/Center) Address: 860 SUMMIT ST, SUITE 246, Elgin, IL, 60120
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1801881156 | Scal Inc | Organization | Pharmacy | Elgin, IL |
| 1922042837 | Christopher Scalzitti | Individual | Pharmacist | Elgin, IL |
| 1134153133 | Conchita G Gavino MD Sc | Organization | Psychiatry Physician | Elgin, IL |
| 1215961214 | Conchita Gavino | Individual | Psychiatry Physician | Elgin, IL |
| 1760416762 | Fox Valley Neurology PC | Organization | Neurology Physician | Elgin, IL |
| 1578597571 | Wayne Gavino | Individual | Neurology Physician | Elgin, IL |
| 1164436911 | Nicholas Bumbales | Individual | Chiropractor | Elgin, IL |
| 1922014315 | Viswanatham Susarla | Individual | Internal Medicine Physician | Elgin, IL |
Verify this record
Cross-check NPI 1952454878 against the authoritative CMS record: view Pediatric Dentistry Ltd 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 Pediatric Dentistry Ltd located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.