OrganizationActive
Jose Villa DDS PC
NPI 1053706481 · General Practice Dentistry · Waukegan, IL
Jose Villa DDS PC is a General Practice Dentistry organization in Waukegan, IL (NPI 1053706481).
Provider details
- NPI number
- 1053706481
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Brusela Villa, Generalist/Assistant Bookkeeper(773) 458-4443
- License
- 019021973 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
2841 Grand Ave
Waukegan, IL 60085-2372
Phone: (847) 360-1610
Fax: (847) 360-1689
Street-level locationGet directions
Mailing address
2841 Grand Ave
Waukegan, IL 60085-2372
Other names (DBA / former)
- Doing business as
- Family Dental Care
Registry dates
- Enumerated
- 2015-04-02
- Last updated
- 2015-04-02
Frequently asked questions
- What is Jose Villa DDS PC's NPI number?
- Jose Villa DDS PC's National Provider Identifier (NPI) is 1053706481, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jose Villa DDS PC?
- Jose Villa DDS PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Jose Villa DDS PC located?
- Jose Villa DDS PC's practice location on file with NPPES is 2841 Grand Ave, Waukegan, IL 60085-2372.
- What is Jose Villa DDS PC's phone number?
- The practice phone number listed in the NPPES registry for Jose Villa DDS PC is (847) 360-1610.
- Who is the authorized official for Jose Villa DDS PC?
- The authorized official listed on Jose Villa DDS PC's NPPES record is Brusela Villa, Generalist/Assistant Bookkeeper. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jose Villa DDS PC's NPI active?
- Yes — Jose Villa DDS PC's NPI (1053706481) is active in the NPPES registry as of the last update on 2015-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.