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

Greenleaf Orthodontics - Park City LLC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1962375428

Greenleaf Orthodontics - Park City LLC is an Orthodontics and Dentofacial Orthopedics Dentistry in Park City, Illinois. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

355 Greenleaf St Ste D
Park City, IL 60085-5708
Phone: (262) 758-6038
Fax: (888) 475-7136
Show map & directions

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

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X

Record details

NPI number1962375428
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Lablonde — Owner · (317) 965-0810
NPI enumeratedSeptember 29, 2025
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025
Mailing address355 Greenleaf St Ste D, Park City, IL 60085-5708