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

Maple Shade Dental Group

Organization General Practice Dentistry · NPI 1427116854

Maple Shade Dental Group is a General Practice Dentistry in Dunlap, Illinois. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3

Practice location Address checks out

11825 N Knoxville Ave
Dunlap, IL 61525
Phone: (309) 243-7702
Fax: (309) 243-9559
Show map & directions

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

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X
General Practice Dentistry Taxonomy 1223G0001X
Periodontics Taxonomy 1223P0300X

Record details

NPI number1427116854
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rodney Willey — Ceo · (309) 243-7702
NPI enumeratedDecember 5, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address11825 N Knoxville Ave, Dunlap, IL 61525

Other providers in Dunlap