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

D J Provenzale & D J Provenzale Jr

Organization General Practice Dentistry · NPI 1710109145

D J Provenzale & D J Provenzale Jr is a General Practice Dentistry in Downers Grove, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
2

Practice location Address checks out

4336 Saratoga Ave
Downers Grove, IL 60515
Phone: (630) 969-7711
Fax: (630) 969-7723
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 19021170 (IL)
General Practice Dentistry Taxonomy 1223G0001X · Licence 19A12314 (IL)

Record details

NPI number1710109145
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Provenzale — Partner · (630) 969-7711
NPI enumeratedMay 3, 2007
Last updated in NPPESAugust 22, 2020
Mailing address4336 Saratoga Ave, Downers Grove, IL 60515

Other providers in Downers Grove