Healthcare Provider Details

I. General information

NPI: 1700911146
Provider Name (Legal Business Name): THE DENTAL SPECIALISTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6319 FAIRVIEW AVE 103
WESTMONT IL
60559-2888
US

IV. Provider business mailing address

6319 FAIRVIEW AVE 103
WESTMONT IL
60559-2888
US

V. Phone/Fax

Practice location:
  • Phone: 630-960-4447
  • Fax: 630-960-3135
Mailing address:
  • Phone: 630-960-4447
  • Fax: 630-960-3135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0106X
TaxonomyOral and Maxillofacial Pathology Dentistry
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1223P0300X
TaxonomyPeriodontics
License Number
License Number State

VIII. Authorized Official

Name: RAJAN SHARMA
Title or Position: OWNER
Credential: D.D.S., M.S.D.
Phone: 630-960-4447