OrganizationActive
Nelson Ridge Family Dental
NPI 1306111349 · Dental Clinic/Center · New Lenox, IL
Provider details
- NPI number
- 1306111349
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Paul Etchison, Owner(815) 524-6000
- License
- 019.027903 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
820 Laraway Rd
New Lenox, IL 60451-2694
Phone: (815) 524-6000
Street-level locationGet directions
Mailing address
820 Laraway Rd
New Lenox, IL 60451-2694
Registry dates
- Enumerated
- 2012-03-08
- Last updated
- 2012-03-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.