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

Glen Ellyn Orthodontic Associates, PC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1811107998

Glen Ellyn Orthodontic Associates, PC is an Orthodontics and Dentofacial Orthopedics Dentistry in Glen Ellyn, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
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

507 Duane St
Glen Ellyn, IL 60137-4549
Phone: (630) 469-5225
Fax: (630) 469-5443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 019-014235 (IL)

Record details

NPI number1811107998
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Douglas Prince — Owner · (630) 469-5225
NPI enumeratedMay 23, 2007
Last updated in NPPESJanuary 8, 2009
Mailing address507 Duane St, Glen Ellyn, IL 60137-4549

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