OrganizationActive
Nelson Ridge Family Dental
NPI 1306111349 · Dental Clinic/Center · New Lenox, IL
Nelson Ridge Family Dental is a Dental Clinic/Center organization in New Lenox, IL (NPI 1306111349).
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
Frequently asked questions
- What is Nelson Ridge Family Dental's NPI number?
- Nelson Ridge Family Dental's National Provider Identifier (NPI) is 1306111349, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nelson Ridge Family Dental?
- Nelson Ridge Family Dental is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Nelson Ridge Family Dental located?
- Nelson Ridge Family Dental's practice location on file with NPPES is 820 Laraway Rd, New Lenox, IL 60451-2694.
- What is Nelson Ridge Family Dental's phone number?
- The practice phone number listed in the NPPES registry for Nelson Ridge Family Dental is (815) 524-6000.
- Who is the authorized official for Nelson Ridge Family Dental?
- The authorized official listed on Nelson Ridge Family Dental's NPPES record is Paul Etchison, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nelson Ridge Family Dental's NPI active?
- Yes — Nelson Ridge Family Dental's NPI (1306111349) is active in the NPPES registry as of the last update on 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.