OrganizationActive
Illinois Dental Providers (glen Ellyn), Ltd
NPI 1306217252 · General Practice Dentistry · Glen Ellyn, IL
Provider details
- NPI number
- 1306217252
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Dentalone Partners, Inc.
- Organization subpart
- Yes
- Authorized official
- Rachel Nittinger, Manager Credentialing(972) 755-0816
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 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
701 Roosevelt Rd
Glen Ellyn, IL 60137-5805
Phone: (630) 790-8430
Fax: (216) 584-1056
Street-level locationGet directions
Mailing address
7160 Dallas Pkwy Ste 400
Plano, TX 75024-7111
Registry dates
- Enumerated
- 2015-10-16
- Last updated
- 2018-03-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.