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

Countryside Dental Group, PC

Organization General Practice Dentistry · NPI 1265812507

Countryside Dental Group, PC is a General Practice Dentistry in Countryside, Illinois. Licensed in Illinois. Registered with an NPI since 2015.

Licensed in
IL
In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6335 Joliet Rd 200
Countryside, IL 60525-7427
Phone: (708) 352-1830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019028019 (IL)

Record details

NPI number1265812507
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Leila Shahbandar — President · (312) 498-2937
NPI enumeratedJune 2, 2015
Last updated in NPPESAugust 19, 2015
Mailing address6335 Joliet Rd Ste 200, Countryside, IL 60525-3986

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