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

Wheaton Prairie Dental LLC

Organization Preferred Provider Organization · NPI 1619322773

Wheaton Prairie Dental LLC is a Preferred Provider Organization in Wheaton, Illinois. Licensed in Illinois. Registered with an NPI since 2016.

Licensed in
IL
In the registry since
2016
Specialties on file
2
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

610 W Roosevelt Rd Ste A1
Wheaton, IL 60187-5087
Phone: (630) 339-3172
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X · Licence 019015107 (IL)
Preferred Provider Organization Taxonomy 305R00000X · Licence 019029436 (IL)

Record details

NPI number1619322773
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alan Acierno — Manager · (630) 339-3172
NPI enumeratedApril 26, 2016
Last updated in NPPESApril 26, 2016
Mailing address129 S Roselle Rd, Suite 102, Schaumburg, IL 60193-5540

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