OrganizationActive
Dental Professionals of Illinois, P.C.
NPI 1003316035 · General Practice Dentistry · Naperville, IL
Provider details
- NPI number
- 1003316035
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Dental Professionals of Illinois, P.C.
- Organization subpart
- Yes
- Authorized official
- Cassandra Petersen, Credentialing Team Lead(217) 540-8972
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
309 W Ogden Ave
Naperville, IL 60563-3000
Phone: (630) 355-3339
Street-level locationGet directions
Mailing address
309 W Ogden Ave
Naperville, IL 60563-3000
Other names (DBA / former)
- Doing business as
- Premier Dental Center
Registry dates
- Enumerated
- 2018-02-16
- Last updated
- 2018-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.