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

Heritage Dental

Organization General Practice Dentistry · NPI 1356490700

Heritage Dental is a General Practice Dentistry in Antioch, Illinois. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

800 Main St
Antioch, IL 60002-1542
Phone: (847) 395-1461
Fax: (847) 395-9255
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1356490700
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Jazdzewski — Officer Of Corporation · (847) 395-1461
NPI enumeratedJanuary 8, 2007
Last updated in NPPESAugust 22, 2020
Mailing address800 Main St, Antioch, IL 60002-1542

Other providers in Antioch