OrganizationActive
Cedar Creek Dental PLLC
NPI 1063132926 · General Practice Dentistry · Highland, IL
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
3 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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.