OrganizationActive
Lary M. Pane, D.d.s.,p.c.
NPI 1003080136 · Dentist · Bellwood, IL
Provider details
- NPI number
- 1003080136
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Lary Pane, President(708) 547-7160
- License
- 01901546 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4420 Saint Charles Rd
Bellwood, IL 60104-1157
Phone: (708) 547-7160
Fax: (630) 426-0211
Street-level locationGet directions
Mailing address
4420 Saint Charles Rd
Bellwood, IL 60104-1157
Registry dates
- Enumerated
- 2008-04-18
- Last updated
- 2008-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.