Organization Active NPI

STC Dental PLLC

  • Dentist
  • St Charles, IL
National Provider Identifier
1194636316
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
STC DENTAL PLLC
Practice address
2210 Dean St Ste O2
St Charles, IL 60175-1067
Phone
(630) 584-8787
NPI assigned
Sep 15, 2026
Last updated
Sep 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Authorized official

Name
Atish Shah, DMD
Title
Dentist
Phone
(847) 942-5292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2210 Dean St Ste O2
St Charles, IL 60175-1067

Mailing address

2210 Dean St Ste O2
St Charles, IL 60175-1067

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1194636316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 DEAN ST STE O2",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601751067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 DEAN ST STE O2",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601751067",
            "telephone_number": "630-584-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STC DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "ATISH",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "847-942-5292",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.