Active NPI
Anthony R. Bennardo DDS PC Dba Integrative Dental Health
- Customized Equipment (DME)
- South Elgin, IL
National Provider Identifier
1972462810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anthony R Bennardo Jr., DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- General Practice Dentistry
- South Elgin, IL
- NPI 1245387026
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.