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

Dental Profile 2

Organization General Practice Dentistry · NPI 1477724870

Dental Profile 2 is a General Practice Dentistry in Addison, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008

Practice location Address checks out

120 E Lake St
Addison, IL 60101-2821
Phone: (630) 530-2498
Fax: (630) 530-2689
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X (IL)

Record details

NPI number1477724870
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Milan Roncevic — General Manager · (630) 516-0000
NPI enumeratedMarch 13, 2008
Last updated in NPPESMarch 13, 2008
Mailing address120 E Lake St, Addison, IL 60101-2821

Other providers in Addison