OrganizationActive
Associated Dental Specialists of Long Grove Ltd
NPI 1033383567 · Pediatric Dentistry · Long Grove, IL
Associated Dental Specialists of Long Grove Ltd is a Pediatric Dentistry organization in Long Grove, IL (NPI 1033383567).
Provider details
- NPI number
- 1033383567
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Mark Cannon, President(847) 634-6166
- License
- 060.003411019.021533 (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
Rfd 4160
Grove Medical Center Suite 308
Long Grove, IL 60047-9586
Phone: (847) 634-6166
Fax: (846) 634-6302
Approximate (ZIP-level) locationGet directions
Mailing address
Rfd 4160
Long Grove, IL 60047-9586
Registry dates
- Enumerated
- 2008-04-16
- Last updated
- 2008-04-16
Frequently asked questions
- What is Associated Dental Specialists of Long Grove Ltd's NPI number?
- Associated Dental Specialists of Long Grove Ltd's National Provider Identifier (NPI) is 1033383567, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Associated Dental Specialists of Long Grove Ltd?
- Associated Dental Specialists of Long Grove Ltd is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Associated Dental Specialists of Long Grove Ltd located?
- Associated Dental Specialists of Long Grove Ltd's practice location on file with NPPES is Rfd 4160, Long Grove, IL 60047-9586.
- What is Associated Dental Specialists of Long Grove Ltd's phone number?
- The practice phone number listed in the NPPES registry for Associated Dental Specialists of Long Grove Ltd is (847) 634-6166.
- Who is the authorized official for Associated Dental Specialists of Long Grove Ltd?
- The authorized official listed on Associated Dental Specialists of Long Grove Ltd's NPPES record is Mark Cannon, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Associated Dental Specialists of Long Grove Ltd's NPI active?
- Yes — Associated Dental Specialists of Long Grove Ltd's NPI (1033383567) is active in the NPPES registry as of the last update on 2008-04-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.