OrganizationActive
Cedar Creek Dental PLLC
NPI 1063132926 · General Practice Dentistry · Highland, IL
Cedar Creek Dental PLLC is a General Practice Dentistry organization in Highland, IL (NPI 1063132926).
Provider details
- NPI number
- 1063132926
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Jared Crutcher, Dentist(618) 654-4551
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
380 Suppiger Way # a
Highland, IL 62249-1103
Phone: (618) 654-4551
Street-level locationGet directions
Mailing address
380 Suppiger Way # a
Highland, IL 62249-1103
Registry dates
- Enumerated
- 2022-08-31
- Last updated
- 2022-09-20
- Certified
- 2022-09-20
Frequently asked questions
- What is Cedar Creek Dental PLLC's NPI number?
- Cedar Creek Dental PLLC's National Provider Identifier (NPI) is 1063132926, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cedar Creek Dental PLLC?
- Cedar Creek Dental PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Cedar Creek Dental PLLC located?
- Cedar Creek Dental PLLC's practice location on file with NPPES is 380 Suppiger Way # a, Highland, IL 62249-1103.
- What is Cedar Creek Dental PLLC's phone number?
- The practice phone number listed in the NPPES registry for Cedar Creek Dental PLLC is (618) 654-4551.
- Who is the authorized official for Cedar Creek Dental PLLC?
- The authorized official listed on Cedar Creek Dental PLLC's NPPES record is Jared Crutcher, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cedar Creek Dental PLLC's NPI active?
- Yes — Cedar Creek Dental PLLC's NPI (1063132926) is active in the NPPES registry as of the last update on 2022-09-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.