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

Myorthos Illinois Orthodontics PC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1194454454

Myorthos Illinois Orthodontics PC is an Orthodontics and Dentofacial Orthopedics Dentistry in Ottawa, Illinois. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1704 Polaris Cir
Ottawa, IL 61350-1773
Phone: (815) 434-4222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2050 Marquette Rd Ste 200, Peru, IL 61354-4000 — (815) 224-2355

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X

Record details

NPI number1194454454
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMyorthos Illinois Orthodontics PC
Authorized official Casey Lonabocker — Vp Operations & Strategy · (617) 535-3364
Other names Premier Orthodontics; Premier Orthodontics
NPI enumeratedJune 9, 2022
Last updated in NPPESNovember 20, 2024
Certification dateNovember 20, 2024
Mailing address131 Dartmouth St Fl 3, Boston, MA 02116-5297

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