OrganizationActive
Lagrange Dental Management
NPI 1013151901 · General Practice Dentistry · La Grange Park, IL
Provider details
- NPI number
- 1013151901
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jonathan Villanueva, Practice Manager(630) 324-6749
- License
- 019022779 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
342 Sherwood Rd
La Grange Park, IL 60526-1967
Phone: (708) 482-4610
Fax: (708) 482-0246
Street-level locationGet directions
Mailing address
342 Sherwood Rd
La Grange Park, IL 60526-1967
Registry dates
- Enumerated
- 2009-04-23
- Last updated
- 2009-04-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.