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

Premier Dental Group Personal Corporation

Organization Dentist · NPI 1801583570

Premier Dental Group Personal Corporation is a Dentist in Wheaton, Illinois. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3

Practice location Address checks out

300 S West St
Wheaton, IL 60187-5021
Phone: (630) 665-0650
Fax: (708) 484-0843
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X
Dentist Taxonomy 122300000X
General Practice Dentistry Taxonomy 1223G0001X

Record details

NPI number1801583570
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anthony Brucci — Dentist/Owner · (708) 308-9929
Other names West Willow Family Dental
NPI enumeratedApril 21, 2023
Last updated in NPPESApril 25, 2023
Certification dateApril 25, 2023
Mailing address183 N Addison Ave Apt 216, Elmhurst, IL 60126-3195

Other providers in Wheaton