Greenleaf Orthodontics - Park City LLC
Organization Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Park City, IL
NPI 1962375428 · NPPES record last updated Oct 6, 2025
Key facts
- NPI
- 1962375428
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- Legal business name
- GREENLEAF ORTHODONTICS - PARK CITY LLC
- Practice address
- 355 Greenleaf St Ste D
Park City, IL 60085-5708 - Phone
- (262) 758-6038
- Fax
- (888) 475-7136
- NPI assigned
- Sep 29, 2025
- Organization subpart
- No
Authorized official
- Name
- Brian Patrick Lablonde, DDS
- Title
- Owner
- Phone
- (317) 965-0810
Practitioners 1
-
Brian Patrick Lablonde, D.D.S.
National Provider Directory
Locations
355 Greenleaf St
Ste D
Park City, IL 60085
Phone (262) 758-6038
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry |
1223X0400X | Yes |
Addresses
Primary practice location
355 Greenleaf St Ste D
Park City, IL 60085-5708
Mailing address
355 Greenleaf St Ste D
Park City, IL 60085-5708
Phone (262) 758-6038
Other providers in Park City, IL
- Kavitha Gandhi
- Sanjay Gandhi
- GL Pharmacy LLC
- Greenleaf Medical Associates S.C.
- Greenleaf Memory Clinic PLLC
- Greenleaf Pharmacy Inc
- Tiffany Hendrickson
- Kerri Hozeska
- Sydney Renee Jakcsy
- Kokila Avasthi DDS PC
All providers in Park City, IL · Orthodontics and Dentofacial Orthopedics Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.