Associated Dental Specialists Of Long Grove Ltd
Pediatric Dental Clinic
Rfd 4160, Grove Medical Center Suite 308, Long Grove
Illinois, 60047-9586
847-634-6166 846-634-6302
Maps & DirectionsAssociated Dental Specialists Of Long Grove Ltd is a Pediatric Dental Clinic in Long Grove, Illinois. It is located at Rfd 4160, Grove Medical Center Suite 308, Long Grove, IL and its contact number is 847-634-6166. The authorized person for Associated Dental Specialists Of Long Grove Ltd is Dr. Mark L Cannon
who is President of the clinic and their contact number is 847-634-6166. The primary license number for Associated Dental Specialists Of Long Grove Ltd is 060.003411019.021533 (Pediatric Dentistry) in Illinois.
Associated Dental Specialists Of Long Grove Ltd Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Associated Dental Specialists Of Long Grove Ltd Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Associated Dental Specialists Of Long Grove Ltd |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | Rfd 4160, Grove Medical Center Suite 308, Long Grove,
Illinois, 60047-9586 |
| Phone: | 847-634-6166 |
| Fax: | 846-634-6302 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Mark L Cannon |
| Position: | President |
| Contact Number: | 847-634-6166 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Associated Dental Specialists Of Long Grove Ltd clinic are as mentioned below.
| NPI Number: | 1033383567 |
| NPI Enumeration Date: | 16 Apr, 2008 |
| NPI Last Update On: | 16 Apr, 2008 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Associated Dental Specialists Of Long Grove Ltd are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | 060.003411019.021533 | Illinois | Primary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Associated Dental Specialists Of Long Grove Ltd
Rfd 4160, Grove Medical Center Suite 308
Long Grove, Illinois |
| Zip: | 60047-9586 |
| Phone Number: | 847-634-6166 |
| Fax Number: | 846-634-6302 |
Patients can reach Associated Dental Specialists Of Long Grove Ltd at
Rfd 4160, Grove Medical Center Suite 308, Long Grove, Illinois or can
call to book an appointment on 847-634-6166.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.