Donald L Bennett, D.D.S., P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DONALD L BENNETT, D.D.S., P.C.

Doing business as

Antioch Dental Center

Practice address

439 Lake St
Antioch, IL 60002-1405

Phone

(847) 395-3250

NPI assigned

Aug 8, 2025

Last updated

Aug 8, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donald L Bennett, DDSNPI 1184753915

Title

President

Phone

(847) 395-3250

Specialties & licenses 1

Addresses

Other names 1

• Antioch Dental Center 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, and the practitioner matching its NPPES authorized official.

• Donald Lee Bennett, D.D.S.

  • General Practice Dentistry
  • Antioch, IL
  • NPI 1184753915
  NPD Authorized official

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

{
    "created_epoch": "1754611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754611200000",
    "number": "1265317291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 LAKE ST",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600021405",
            "telephone_number": "847-395-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 LAKE ST",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600021405",
            "telephone_number": "847-395-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD L BENNETT, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-395-3250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Antioch Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John J Devaney Jr., MD
• Mia Monique Diaz
• Mekson H Din
• Alexandra J Dollinger, M.A., CCC, SLP/L
• Lora Dolman
• Grace Victoria Dorog, RPT
• DPT Holdings LLC (Doctors of Physical Therapy)
• Heidi Michelle Droessler, LSW
• Dana Dunleavy, PTA
• Julie Ann Dupont

• Dental Clinic/Center in Antioch, IL
• Providers in Antioch, IL by specialty
• Dental Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; 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.