Innovative Pediatric Dentistry
Pediatric dental practice in Naperville, IL
Registered providerLicense # listed (IL)
Public-record details
- Address
- 55 S Main St Ste 241, Naperville, IL 60540
- Phone
- (630) 848-2010
- Listed under
- Practices and organizations
- NPI
- 1447644802
- NPI status
- Active in the NPPES registry
- Provider type
- Organization (practice, clinic or company)
- Registered specialty (self-reported taxonomy)
- Pediatric Dentistry (1223P0221X)
- License number on NPI record
- 4744296 (IL)
- Authorized official
- Anthony Lavacca, DMD, President
- NPI first issued
- Mar 24, 2015
- Years since NPI first issued
- 11 years (since 2015)
- License state on NPI record
- IL
- NPI record last updated
- Mar 24, 2015
- Pediatric dentistry listings at this street address
- 1 (only this one)
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What these registry facts mean
Registered specialty is not board certification. Verify the license with the state dental board and board certification with the American Board of Pediatric Dentistry. Ask which insurance and Medicaid/CHIP plans the practice accepts.