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

Shady Oak Dental LLC - Rochelle Family Dental

Organization Dental Clinic/Center · NPI 1134692858

Shady Oak Dental LLC - Rochelle Family Dental is a Dental Clinic/Center in Rochelle, Illinois. Registered with an NPI since 2019.

In the registry since
2019
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

409 Lincoln Hwy
Rochelle, IL 61068-1642
Phone: (815) 561-6058
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1134692858
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Bares — Doctor · (815) 275-2680
NPI enumeratedJanuary 4, 2019
Last updated in NPPESJanuary 4, 2019
Mailing address409 Lincoln Hwy, Rochelle, IL 61068-1642

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