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

Nelson Ridge Family Dental

Organization Dental Clinic/Center · NPI 1306111349

Nelson Ridge Family Dental is a Dental Clinic/Center in New Lenox, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012

Practice location Address checks out

820 Laraway Rd
New Lenox, IL 60451-2694
Phone: (815) 524-6000
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 019.027903 (IL)

Record details

NPI number1306111349
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Etchison — Owner · (815) 524-6000
NPI enumeratedMarch 8, 2012
Last updated in NPPESMarch 8, 2012
Mailing address820 Laraway Rd, New Lenox, IL 60451-2694

Other providers in New Lenox