Organization Active NPI

Anthony R. Bennardo DDS PC Dba Integrative Dental Health

  • Customized Equipment (DME)
  • South Elgin, IL
National Provider Identifier
1972462810
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
ANTHONY R. BENNARDO DDS PC DBA INTEGRATIVE DENTAL HEALTH
Practice address
87 S McLean Blvd
South Elgin, IL 60177-1835
Phone
(847) 888-8311
Fax
(847) 429-9334
NPI assigned
Jan 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Authorized official

Name
Dr. Anthony R Bennardo Jr., DDSNPI 1245387026
Title
Dentist
Phone
(847) 888-8311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

87 S McLean Blvd
South Elgin, IL 60177-1835

Mailing address

87 S McLean Blvd Ste B
South Elgin, IL 60177-1837
Phone (847) 888-8311

National Provider Directory

National Provider Directory

Locations

87 S McLean Blvd
South Elgin, IL 60177
Phone (224) 535-9389

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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": "1972462810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 S MCLEAN BLVD STE B",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601771837",
            "telephone_number": "847-888-8311",
            "fax_number": "847-429-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 S MCLEAN BLVD",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601771835",
            "telephone_number": "847-888-8311",
            "fax_number": "847-429-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY R. BENNARDO DDS PC DBA INTEGRATIVE DENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-16",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "BENNARDO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "847-888-8311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Elgin, IL

Sources for this page

  • 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.