Professional Dental Specialties

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

PROFESSIONAL DENTAL SPECIALTIES

Doing business as

Amanda Piche DDS, Dominik Dubravec DDS

Practice address

20635 Abbey Woods CT N Ste 203
Frankfort, IL 60423-3186

Phone

(815) 464-3001

NPI assigned

Mar 14, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Amanda Piche, DDSNPI 1306408497

Title

Owner

Phone

(319) 389-7177

Specialties & licenses 1

Addresses

Other names 1

• Amanda Piche DDS, Dominik Dubravec DDS Doing business as

Practitioners 1

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

• Amanda Piche, DDS

  • Dentist
  • Birmingham, AL
  • NPI 1306408497
  NPD Authorized official

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

{
    "created_epoch": "1741910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769644800000",
    "number": "1417757915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17236 MUNSTER LN",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604774608",
            "telephone_number": "319-389-7177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20635 ABBEY WOODS CT N STE 203",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604233186",
            "telephone_number": "815-464-3001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Spring Rd Ste 205",
            "address_purpose": "LOCATION",
            "city": "Oak Brook",
            "state": "IL",
            "postal_code": "605231479",
            "country_code": "US",
            "telephone_number": "630-573-0369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "555 W Court St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Kankakee",
            "state": "IL",
            "postal_code": "609013674",
            "country_code": "US",
            "telephone_number": "815-932-0554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROFESSIONAL DENTAL SPECIALTIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-14",
        "last_updated": "2026-01-29",
        "certification_date": "2026-01-29",
        "status": "A",
        "authorized_official_last_name": "PICHE",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "319-389-7177",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amanda Piche DDS, Dominik Dubravec DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Periodontics in Frankfort, IL
• Providers in Frankfort, IL by specialty
• Periodontics in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.