Long Grove Dental, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

LONG GROVE DENTAL, PC

Practice address

4160 Il-83
102
Long Grove, IL 60047

Phone

(847) 634-0808

Fax

(847) 634-1654

NPI assigned

Nov 24, 2025

Organization subpart

No

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

Authorized official

Name

Thomas Simcox

Title

Director - Revenue Cycle Management

Phone

(201) 400-1481

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1891656252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 IL-83",
            "address_2": "102",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "60047",
            "telephone_number": "847-634-0808",
            "fax_number": "847-634-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 IL-83",
            "address_2": "102",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "60047",
            "telephone_number": "847-634-0808",
            "fax_number": "847-634-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG GROVE DENTAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-10",
        "status": "A",
        "authorized_official_last_name": "SIMCOX",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR - REVENUE CYCLE MANAGEMENT",
        "authorized_official_telephone_number": "201-400-1481"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Levay, PT
• Lindsay Pearlman & Associates
• Liv Home Health LLC
• Long Grove Center for Emotional Health LLC
• Long Grove Dental Studio
• Long Grove Fire Protection District
• Long Grove Manor Inc
• Long Grove Pac LLC
• Melissa J. Long, APN-CNP
• Robert J Longo, MD

• General Practice Dentistry in Long Grove, IL
• Providers in Long Grove, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.