OrganizationActive
Park Blvd Dentistry
NPI 1194178111 · Dentist · Glen Ellyn, IL
Park Blvd Dentistry is a Dentist organization in Glen Ellyn, IL (NPI 1194178111).
Provider details
- NPI number
- 1194178111
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Sharon Szeszycki, President(630) 469-0800
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
45 S Park Blvd
Ste 190
Glen Ellyn, IL 60137-6280
Phone: (630) 469-0800
Fax: (630) 474-0597
Street-level locationGet directions
Mailing address
45 S Park Blvd
Glen Ellyn, IL 60137-6280
Registry dates
- Enumerated
- 2016-07-14
- Last updated
- 2016-07-14
Frequently asked questions
- What is Park Blvd Dentistry's NPI number?
- Park Blvd Dentistry's National Provider Identifier (NPI) is 1194178111, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Park Blvd Dentistry?
- Park Blvd Dentistry is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Park Blvd Dentistry located?
- Park Blvd Dentistry's practice location on file with NPPES is 45 S Park Blvd, Glen Ellyn, IL 60137-6280.
- What is Park Blvd Dentistry's phone number?
- The practice phone number listed in the NPPES registry for Park Blvd Dentistry is (630) 469-0800.
- Who is the authorized official for Park Blvd Dentistry?
- The authorized official listed on Park Blvd Dentistry's NPPES record is Sharon Szeszycki, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Park Blvd Dentistry's NPI active?
- Yes — Park Blvd Dentistry's NPI (1194178111) is active in the NPPES registry as of the last update on 2016-07-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.