Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Advanced Lisle Dental

Organization Preferred Provider Organization · NPI 1972936334

Advanced Lisle Dental is a Preferred Provider Organization in Lisle, Illinois. Licensed in Illinois. Registered with an NPI since 2013.

Licensed in
IL
In the registry since
2013
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Practice location Address checks out

1046 Maple Ave
Lisle, IL 60532-2329
Phone: (630) 890-6102
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X · Licence 019027403 (IL)

Record details

NPI number1972936334
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Hetalkumar Patel — Owner · (630) 890-6102
NPI enumeratedAugust 20, 2013
Last updated in NPPESAugust 20, 2013
Mailing address1046 Maple Ave, Lisle, IL 60532-2329

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