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

Kankakee Dental PLLC

Organization Dental Clinic/Center · NPI 1780256503

Kankakee Dental PLLC is a Dental Clinic/Center in Kankakee, Illinois. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

200 E Court St Ste 504
Kankakee, IL 60901-3847
Phone: (815) 932-3613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1780256503
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kevin Fatland — Member · (708) 990-7869
NPI enumeratedJuly 12, 2021
Last updated in NPPESJuly 12, 2021
Certification dateJuly 12, 2021
Mailing address200 E Court St Ste 504, Kankakee, IL 60901-3847

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