Dentelligence Inc

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DENTELLIGENCE INC

Practice address

1298 S Milwaukee Ave
Libertyville, IL 60048-3784

Phone

(847) 316-0679

NPI assigned

Apr 2, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Annie Mirza, DDSNPI 1801271317

Title

Ceo

Phone

(331) 425-0937

Specialties & licenses 1

Addresses

Other names 1

• Lake County Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Annie Mirza, DDS

  • Dentist
  • Waukegan, IL
  • NPI 1801271317
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1775088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1093656290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 ELDERBERRY DR",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1298 S MILWAUKEE AVE",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483784",
            "telephone_number": "847-316-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTELLIGENCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-02",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "MIRZA",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "331-425-0937",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lake County Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrea Rene Dell'Aquila, M.S., CCC-SLP
• Jade Ashley Dellinger, D.C
• Dennis a Grollo MDSC
• Dennis E. Manning D.D.S.,LTD.
• Dental Health and Beauty
• Carla Depalma
• Douglas Raymond Depalma
• Derick Dermatology, PLLC
• Casie Derose, M.S. CCC-SLP
• Aalisha Desai

• Dentist in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.

Verify at the official NPI Registry.