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

Two Rivers Dental

Organization General Practice Dentistry · NPI 1760712855

Two Rivers Dental is a General Practice Dentistry in Bolingbrook, Illinois. Licensed in Illinois. Registered with an NPI since 2010.

Licensed in
IL
In the registry since
2010

Practice location Address checks out

1196 W Boughton Rd
Bolingbrook, IL 60440-6567
Phone: (630) 759-9929
Fax: (630) 759-9922
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 019024809 (IL)

Record details

NPI number1760712855
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sohail Shafi — Manager · (630) 842-3705
NPI enumeratedJanuary 12, 2010
Last updated in NPPESDecember 10, 2020
Certification dateDecember 10, 2020
Mailing address1730 Park St Ste 106, Naperville, IL 60563-2609

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