OrganizationActive
Crescent Family Dental LLC
NPI 1043749286 · Dentist · Wheeling, IL
Provider details
- NPI number
- 1043749286
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Deeptha Surampudi, President(224) 229-9688
- License
- 019.030051 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
307 S Milwaukee Ave Ste 101
Wheeling, IL 60090-5035
Phone: (847) 459-3366
Street-level locationGet directions
Mailing address
180 Brook Hill Ln
Vernon Hills, IL 60061-3142
Other names (DBA / former)
- Doing business as
- Crescent Family Dental
Registry dates
- Enumerated
- 2017-06-10
- Last updated
- 2020-06-25
- Certified
- 2020-06-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.