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

Hickory Dentistry LLC

Organization General Practice Dentistry · NPI 1275131948

Hickory Dentistry LLC is a General Practice Dentistry in Hickory Hills, Illinois. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9556 S Roberts Rd
Hickory Hills, IL 60457-2239
Phone: (708) 608-0095
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Dental Clinic/Center Taxonomy 261QD0000X

Record details

NPI number1275131948
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Prasanth Dommaraju — Owner · (630) 247-7216
NPI enumeratedOctober 14, 2020
Last updated in NPPESJuly 25, 2025
Certification dateJuly 25, 2025
Mailing address3924 S Archer Ave Unit D, Chicago, IL 60632-1116

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