Libertyville Pediatric Dentistry
NPI 1043088784 · Dental Clinic/Center · Libertyville, IL
Libertyville Pediatric Dentistry is a Dental Clinic/Center organization in Libertyville, IL (NPI 1043088784).
Provider details
- NPI number
- 1043088784
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bianca Hassoun, Operator(630) 854-6044
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
Mailing address
Registry dates
- Enumerated
- 2023-12-12
- Last updated
- 2023-12-12
- Certified
- 2023-12-12
Frequently asked questions
- What is Libertyville Pediatric Dentistry's NPI number?
- Libertyville Pediatric Dentistry's National Provider Identifier (NPI) is 1043088784, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Libertyville Pediatric Dentistry?
- Libertyville Pediatric Dentistry is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Libertyville Pediatric Dentistry located?
- Libertyville Pediatric Dentistry's practice location on file with NPPES is 1870 W Winchester Rd Ste 143, Libertyville, IL 60048-5359.
- What is Libertyville Pediatric Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Libertyville Pediatric Dentistry is (630) 854-6044.
- Who is the authorized official for Libertyville Pediatric Dentistry?
- The authorized official listed on Libertyville Pediatric Dentistry's NPPES record is Bianca Hassoun, Operator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Libertyville Pediatric Dentistry's NPI active?
- Yes — Libertyville Pediatric Dentistry's NPI (1043088784) is active in the NPPES registry as of the last update on 2023-12-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.