Dentistryone of Illinois PC

NPI #1619738796 in Bannockburn, Illinois

Provider Information

NPI Number: 1619738796
Entity Type: Organization
Organization Name: Dentistryone of Illinois PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 17, 2024
Last Updated: May 2, 2025

Practice Location

Address: 2515 WAUKEGAN RD # 557
City: Bannockburn
State: Illinois
ZIP Code: 60015-1569
Phone: (877) 712-7875

Authorized Official

Name: DEREK WEIGAND
Title: OWNER
Phone: (877) 712-7875

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Dentist - General Practice — General Practice	1223G0001X	Primary

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