OrganizationActive
Foster Avenue Dental Clinic P.C.
NPI 1205133527 · Dentist · Des Plaines, IL
Foster Avenue Dental Clinic P.C. is a Dentist organization in Des Plaines, IL (NPI 1205133527).
Provider details
- NPI number
- 1205133527
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Gregory Tietzer, Owner(773) 463-8860
- License
- 019019206 (IL)
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
1400 E Golf Rd
Suite 125
Des Plaines, IL 60016-1236
Phone: (847) 827-7990
Fax: (847) 827-7852
Street-level locationGet directions
Mailing address
3318 W Foster Ave
Chicago, IL 60625-4813
Registry dates
- Enumerated
- 2011-02-23
- Last updated
- 2011-02-23
Frequently asked questions
- What is Foster Avenue Dental Clinic P.C.'s NPI number?
- Foster Avenue Dental Clinic P.C.'s National Provider Identifier (NPI) is 1205133527, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Foster Avenue Dental Clinic P.C.?
- Foster Avenue Dental Clinic P.C. is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Foster Avenue Dental Clinic P.C. located?
- Foster Avenue Dental Clinic P.C.'s practice location on file with NPPES is 1400 E Golf Rd, Des Plaines, IL 60016-1236.
- What is Foster Avenue Dental Clinic P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Foster Avenue Dental Clinic P.C. is (847) 827-7990.
- Who is the authorized official for Foster Avenue Dental Clinic P.C.?
- The authorized official listed on Foster Avenue Dental Clinic P.C.'s NPPES record is Gregory Tietzer, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Foster Avenue Dental Clinic P.C.'s NPI active?
- Yes — Foster Avenue Dental Clinic P.C.'s NPI (1205133527) is active in the NPPES registry as of the last update on 2011-02-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.