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

Periodontal Medicine and Surgical Specialists, LLC

Organization Periodontics · NPI 1790432219

Periodontal Medicine and Surgical Specialists, LLC is a Periodontics in Glenview, Illinois. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2300 Lehigh Ave Ste 210
Glenview, IL 60026-1691
Phone: (630) 627-3930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X
Dental Clinic/Center Taxonomy 261QD0000X

Record details

NPI number1790432219
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Molly Walsh — Practice Operations Director · (630) 627-3930
NPI enumeratedMarch 4, 2022
Last updated in NPPESMarch 4, 2022
Certification dateMarch 4, 2022
Mailing address1s224 Summit Ave Ste 205, Oakbrook Terrace, IL 60181-3943

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