Active NPI
32 Village Dental LLC
- General Practice Dentistry
- Elk Grove Village, IL
National Provider Identifier
1063387710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- 32 VILLAGE DENTAL LLC
- Practice address
- 958 Elk Grove Town Ctr
Elk Grove Village, IL 60007-3754 - Phone
- (847) 364-5100
- NPI assigned
- Oct 10, 2025
- Last updated
- May 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Samantha Hernandez
- Title
- Provider Support
- Phone
- (847) 469-4340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
958 Elk Grove Town Ctr
Elk Grove Village, IL 60007-3754
Mailing address
958 Elk Grove Town Ctr
Elk Grove Village, IL 60007-3754
Phone (847) 469-4340
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1760054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778544000000",
"number": "1063387710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "958 ELK GROVE TOWN CTR",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600073754",
"telephone_number": "847-469-4340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "958 ELK GROVE TOWN CTR",
"city": "ELK GROVE VILLAGE",
"state": "IL",
"postal_code": "600073754",
"telephone_number": "847-364-5100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "32 VILLAGE DENTAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-10",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "SAMANTHA",
"authorized_official_title_or_position": "PROVIDER SUPPORT",
"authorized_official_telephone_number": "847-469-4340",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elk Grove Village, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.