OrganizationActive
Maple Shade Dental (dunlap) LLC
NPI 1134416795 · Dentist · Dunlap, IL
Maple Shade Dental (dunlap) LLC is a Dentist organization in Dunlap, IL (NPI 1134416795).
Provider details
- NPI number
- 1134416795
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Mike Cole, Insurance Director(727) 726-1611
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
11825 State Route 40
Suite 200
Dunlap, IL 61525-8842
Phone: (309) 243-7702
Fax: (309) 243-9061
Street-level locationGet directions
Mailing address
6240 Lake Osprey Dr Dept 56058
Lakewood Ranch, FL 34240-8421
Registry dates
- Enumerated
- 2011-07-05
- Last updated
- 2024-03-18
- Certified
- 2024-03-18
Frequently asked questions
- What is Maple Shade Dental (dunlap) LLC's NPI number?
- Maple Shade Dental (dunlap) LLC's National Provider Identifier (NPI) is 1134416795, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Maple Shade Dental (dunlap) LLC?
- Maple Shade Dental (dunlap) LLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Maple Shade Dental (dunlap) LLC located?
- Maple Shade Dental (dunlap) LLC's practice location on file with NPPES is 11825 State Route 40, Dunlap, IL 61525-8842.
- What is Maple Shade Dental (dunlap) LLC's phone number?
- The practice phone number listed in the NPPES registry for Maple Shade Dental (dunlap) LLC is (309) 243-7702.
- Who is the authorized official for Maple Shade Dental (dunlap) LLC?
- The authorized official listed on Maple Shade Dental (dunlap) LLC's NPPES record is Mike Cole, Insurance Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Maple Shade Dental (dunlap) LLC's NPI active?
- Yes — Maple Shade Dental (dunlap) LLC's NPI (1134416795) is active in the NPPES registry as of the last update on 2024-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.