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

South Park Ortho PLLC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1396319711

South Park Ortho PLLC is an Orthodontics and Dentofacial Orthopedics Dentistry in Park Ridge, Illinois. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

401 W Talcott Rd
Park Ridge, IL 60068-5408
Phone: (847) 318-7711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X

Record details

NPI number1396319711
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Stites — Insurance Coordinator-Decision One · (630) 869-5857
NPI enumeratedMay 19, 2021
Last updated in NPPESMay 19, 2021
Certification dateMay 19, 2021
Mailing address1699 E Woodfield Rd Ste 102, Schaumburg, IL 60173-4955

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