OrganizationActive
Modern Art of Dentistry, Inc
NPI 1003142100 · Dental Clinic/Center · Wheeling, IL
Provider details
- NPI number
- 1003142100
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Karina Lyon Gavrilov, Owner(847) 465-0800
- License
- 0019-024691 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
75 S Milwaukee Ave
Wheeling, IL 60090-3187
Phone: (847) 465-0800
Fax: (847) 465-0053
Street-level locationGet directions
Mailing address
75 S Milwaukee Ave
Wheeling, IL 60090-3187
Registry dates
- Enumerated
- 2009-10-23
- Last updated
- 2009-10-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.