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

Associated Dental Specialists of Long Grove Ltd

Organization Pediatric Dentistry · NPI 1033383567

Associated Dental Specialists of Long Grove Ltd is a Pediatric Dentistry in Long Grove, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

Rfd 4160 Grove Medical Ctr Ste 308
Long Grove, IL 60047-9586
Phone: (847) 634-6166
Fax: (846) 634-6302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 060.003411019.021533 (IL)

Record details

NPI number1033383567
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Cannon — President · (847) 634-6166
NPI enumeratedApril 16, 2008
Last updated in NPPESApril 16, 2008
Mailing addressRfd 4160, Grove Medical Center Suite 308, Long Grove, IL 60047-9586

Other providers in Long Grove