Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Two Rivers Dental

Organization General Practice Dentistry · NPI 1760712855

Two Rivers Dental provides 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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