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

Kandimalla Dental PLLC

Organization Dentist · NPI 1558994392

Kandimalla Dental PLLC is a Dentist in Bolingbrook, Illinois. Registered with an NPI since 2020.

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

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Practice location Address checks out

772 S Weber Rd
Bolingbrook, IL 60490-5472
Phone: (630) 518-2272
Fax: (630) 243-4778
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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
Dentist Taxonomy 122300000X

Record details

NPI number1558994392
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kalpana Kandimalla — Owner Dentist · (630) 518-2272
Other names Innova Family Dental; Innova Family Dental
NPI enumeratedFebruary 20, 2020
Last updated in NPPESJune 21, 2022
Certification dateJune 21, 2022
Mailing address772 S Weber Rd, Bolingbrook, IL 60490-5472

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