OrganizationActive
Dental on 45 Inc
NPI 1184033839 · Dentist · Third Lake, IL
Dental on 45 Inc is a Dentist organization in Third Lake, IL (NPI 1184033839).
Provider details
- NPI number
- 1184033839
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Marlen Fajardo, Office Manager(224) 541-4066
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
34484 N US Highway 45
Suite C
Third Lake, IL 60030-4038
Phone: (224) 541-4066
Fax: (847) 752-8425
Street-level locationGet directions
Mailing address
34484 N US Highway 45
Third Lake, IL 60030-4038
Registry dates
- Enumerated
- 2014-08-07
- Last updated
- 2014-08-07
Frequently asked questions
- What is Dental on 45 Inc's NPI number?
- Dental on 45 Inc's National Provider Identifier (NPI) is 1184033839, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dental on 45 Inc?
- Dental on 45 Inc is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Dental on 45 Inc located?
- Dental on 45 Inc's practice location on file with NPPES is 34484 N US Highway 45, Third Lake, IL 60030-4038.
- What is Dental on 45 Inc's phone number?
- The practice phone number listed in the NPPES registry for Dental on 45 Inc is (224) 541-4066.
- Who is the authorized official for Dental on 45 Inc?
- The authorized official listed on Dental on 45 Inc's NPPES record is Marlen Fajardo, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dental on 45 Inc's NPI active?
- Yes — Dental on 45 Inc's NPI (1184033839) is active in the NPPES registry as of the last update on 2014-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.