Maple Shade Dental Group

NPI #1427116854 in Dunlap, Illinois

Provider Information

NPI Number
1427116854
Entity Type
Organization
Organization Name
Maple Shade Dental Group
Primary Specialty
Dentist - Oral and Maxillofacial Surgery
Enumeration Date
Dec 5, 2006
Last Updated
Sep 11, 2025

Practice Location

Address
11825 N KNOXVILLE AVE
City
Dunlap
ZIP Code
61525
Phone
(309) 243-7702

Authorized Official

Name
RODNEY EARL WILLEY, DDS
Title
CEO
Phone
(309) 243-7702

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice
Dentist - PeriodonticsPeriodontics
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery

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