OrganizationActive
Countryside Dental Group, PC
NPI 1265812507 · General Practice Dentistry · Countryside, IL
Countryside Dental Group, PC is a General Practice Dentistry organization in Countryside, IL (NPI 1265812507).
Provider details
- NPI number
- 1265812507
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Leila Shahbandar, President(312) 498-2937
- License
- 019028019 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
6335 Joliet Rd
200
Countryside, IL 60525-7427
Phone: (708) 352-1830
Street-level locationGet directions
Mailing address
6335 Joliet Rd Ste 200
Countryside, IL 60525-3986
Registry dates
- Enumerated
- 2015-06-02
- Last updated
- 2015-08-19
Frequently asked questions
- What is Countryside Dental Group, PC's NPI number?
- Countryside Dental Group, PC's National Provider Identifier (NPI) is 1265812507, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Countryside Dental Group, PC?
- Countryside Dental Group, PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Countryside Dental Group, PC located?
- Countryside Dental Group, PC's practice location on file with NPPES is 6335 Joliet Rd, Countryside, IL 60525-7427.
- What is Countryside Dental Group, PC's phone number?
- The practice phone number listed in the NPPES registry for Countryside Dental Group, PC is (708) 352-1830.
- Who is the authorized official for Countryside Dental Group, PC?
- The authorized official listed on Countryside Dental Group, PC's NPPES record is Leila Shahbandar, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Countryside Dental Group, PC's NPI active?
- Yes — Countryside Dental Group, PC's NPI (1265812507) is active in the NPPES registry as of the last update on 2015-08-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.