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

PA Dental Incorporated

Organization General Practice Dentistry · NPI 1013120005

PA Dental Incorporated is a General Practice Dentistry in Waukegan, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2605A Grand Ave
Waukegan, IL 60085-2410
Phone: (847) 244-7779
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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 (IL)

Record details

NPI number1013120005
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ajitha Paruchuri — President · (630) 229-5469
Other names Douglas Dental Center
NPI enumeratedMay 7, 2007
Last updated in NPPESAugust 22, 2020
Mailing address2605a Grand Ave, Waukegan, IL 60085-2410

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