Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205353109 Individual Practitioner Male Practitioner

Dr. Kenny Alejandro Robles Gonzalez , DDS

Dentist - General Practice • Berwyn, IL

Professional Overview & Biography Verified Profile Summary

Dr. Kenny Robles Gonzalez, DDS is a registered healthcare professional specializing in Dentist - General Practice in Berwyn, IL. Practice services are available at 3253 S HARLEM AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3253 S Harlem Ave
Suite 1c

Berwyn, IL 60402

Telephone 7087884444
Associated Practice Facility / Clinic
🏢 Berwyn Surgical Center Llc Facility NPI 1992086029

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Berwyn, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
27 Specialists

Practicing in Berwyn, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019031362

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist

NUCC Taxonomy Code: 122300000X

State License IL 019031362

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. David Whitney , MD

Dermatology - Procedural Dermatology

NPI 1013983618

Doctor of Medicine (M.D.)

Lidia Pomaville , PA-C

Physician Assistant

NPI 1144595174

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location May 22, 2025

Registered at 3253 S HARLEM AVE, SUITE 1C, BERWYN, IL 60402 (Tel: 7087884444)

📍
Updated Business Mailing Address May 22, 2025

Registered at 3253 S HARLEM AVE, SUITE 1C, BERWYN, IL 60402 (Tel: 3236372601)

👤
Provider Name / Credentials Updated May 22, 2025

Recorded as KENNY ROBLES GONZALEZ, DDS

NPI Profile Active August 23, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 23, 2017

Registered at 3514 N LINCOLN AVE, CHICAGO, IL 606571104 (Tel: 3129577711)

📍
Updated Business Mailing Address August 23, 2017

Registered at 655 W IRVING PARK RD APT 2003, CHICAGO, IL 606133181 (Tel: 3236372601)

👤
Provider Name / Credentials Updated August 23, 2017

Recorded as KENNY ROBLES GONZALEZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2017

Dentist (License #019031362 in IL)

🟢
Initial NPI Registration & Enumeration August 23, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205353109
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2017
Last Update: May 22, 2025
Sole Proprietor: Yes

Mailing Address

3253 S Harlem Ave, Suite 1c

Berwyn, IL 60402

Phone: 3236372601

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.