OrganizationActive
Affordable Dental of Illinois
NPI 1063552453 · Dental Clinic/Center · Dupo, IL
Provider details
- NPI number
- 1063552453
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ronald Gersten, Owner(618) 286-4400
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
195 S Main St
Dupo, IL 62239-1347
Phone: (618) 286-4400
Street-level locationGet directions
Mailing address
195 S Main St
Dupo, IL 62239-1347
Registry dates
- Enumerated
- 2007-02-07
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.