OrganizationActive
Advanced Dental Care
NPI 1295182905 · Dental Clinic/Center · Columbia, IL
Provider details
- NPI number
- 1295182905
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Martin Cisneros, Owner(618) 281-9590
- License
- 019024628 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
125 Wedgewood Dr
Columbia, IL 62236-1052
Phone: (618) 281-9590
Street-level locationGet directions
Mailing address
125 Wedgewood Dr
Columbia, IL 62236-1052
Registry dates
- Enumerated
- 2016-05-23
- Last updated
- 2016-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.