Dziepak DMD PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

DZIEPAK DMD PLLC

Doing business as

Little Roots Pediatric Dentistry

Practice address

1116 W Schick Rd
Bartlett, IL 60103-3007

Phone

(630) 467-6067

Fax

(630) 467-6064

NPI assigned

Jan 16, 2026

Last updated

Jan 16, 2026By 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

Marissa Dziepak, DMDNPI 1184160194

Title

Owner

Phone

(630) 467-6067

Specialties & licenses 1

Addresses

Other names 1

• Little Roots Pediatric Dentistry 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.

• Marissa Dziepak, DMD

  • Pediatric Dentistry
  • Frankfort, IL
  • NPI 1184160194
  NPD Authorized official

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

{
    "created_epoch": "1768521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1407715345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 W SCHICK RD",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601033007",
            "telephone_number": "630-467-6067",
            "fax_number": "630-467-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 W SCHICK RD",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601033007",
            "telephone_number": "630-467-6067",
            "fax_number": "630-467-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DZIEPAK DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-16",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "DZIEPAK",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-467-6067",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Roots Pediatric Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ma. Lourdes Domingo, RN
• Dominicks
• Carolyn Doyle, MSW
• Michael Dunleavy, DO
• Brian Howard Dunn, DPM
• Melissa Marie Dzugan, PT, DPT
• E&E Healthcare Logistics LLC
• Cecilia Eckard, D.C.
• James Peter Economos, D.D.S.
• Terea Yurko Eid, MA CCC-SLP

• Pediatric Dentistry in Bartlett, IL
• Providers in Bartlett, IL by specialty
• Pediatric Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.