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

Periodontics & Implants, Ltd

Organization Periodontics · NPI 1962653600

Periodontics & Implants, Ltd is a Periodontics in Evanston, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

636 Church St Ste 707
Evanston, IL 60201-4508
Phone: (847) 491-1880
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 021000596 (IL)

Record details

NPI number1962653600
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Prendergast — President/Periodontist · (847) 491-1880
NPI enumeratedSeptember 30, 2008
Last updated in NPPESSeptember 30, 2008
Mailing address636 Church St, Suite 707, Evanston, IL 60201-4508

Other providers in Evanston