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

Park Blvd Dentistry

Organization Dentist · NPI 1194178111

Park Blvd Dentistry is a Dentist in Glen Ellyn, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016

Practice location Address checks out

45 S Park Blvd Ste 190
Glen Ellyn, IL 60137-6280
Phone: (630) 469-0800
Fax: (630) 474-0597
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X (IL)

Record details

NPI number1194178111
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sharon Szeszycki — President · (630) 469-0800
NPI enumeratedJuly 14, 2016
Last updated in NPPESJuly 14, 2016
Mailing address45 S Park Blvd, Ste 190, Glen Ellyn, IL 60137-6280

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