Organization
RIVERSIDE DENTAL CENTER GPS PLLC
Active
Other names
Riverside Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID DIMKE (OWNER)
(815) 877-4300
Entity
Organization
Contact information
Practice address
2028 E RIVERSIDE BLVD STE 210, LOVES PARK, IL 61111-4800
(815) 877-4300
Mailing address
2028 E RIVERSIDE BLVD STE 210, LOVES PARK, IL 61111-4800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2025
Last updated
04/14/2026
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