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

Professional Dental Alliance of Grove Dental Specialty LLC

Organization Dental Clinic/Center · NPI 1215563762

Professional Dental Alliance of Grove Dental Specialty LLC is a Dental Clinic/Center in Bolingbrook, Illinois. Registered with an NPI since 2020.

In the registry since
2020
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

160 E Boughton Rd
Bolingbrook, IL 60440-2014
Phone: (630) 410-1766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1215563762
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Kurtz — Credentialing Specialist · (724) 698-2058
Other names Grove Dental; Grove Dental
NPI enumeratedMarch 17, 2020
Last updated in NPPESApril 28, 2021
Certification dateApril 28, 2021
Mailing addressPo Box 715279, Cincinnati, OH 45271-5279

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