OrganizationActive
Timothy Theobald DDS PLLC
NPI 1053255901 · General Practice Dentistry · North Chicago, IL
Provider details
- NPI number
- 1053255901
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Timothy Theobald, Lead Dentist(847) 336-8478
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
2127 Green Bay Rd
North Chicago, IL 60064-2801
Phone: (847) 336-8478
Street-level locationGet directions
Mailing address
2127 Green Bay Rd
North Chicago, IL 60064-2801
Registry dates
- Enumerated
- 2026-04-20
- Last updated
- 2026-05-29
- Certified
- 2026-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.