OrganizationActive
Malta Family Dental LLC
NPI 1063791218 · Dentist · Malta, IL
Provider details
- NPI number
- 1063791218
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Anne Anderson, Office Manager(815) 825-5025
- License
- 020010952 (IL)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(81/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
304 Van Buren St
Malta, IL 60150-9512
Phone: (815) 825-5025
Fax: (815) 516-0205
Street-level locationGet directions
Mailing address
304 Van Buren St
Malta, IL 60150-9512
Registry dates
- Enumerated
- 2011-08-05
- Last updated
- 2011-08-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.