OrganizationActive
William E. Cusack, D.D.S., Ltd.
NPI 1346060217 · Periodontics · Peoria, IL
Provider details
- NPI number
- 1346060217
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Kimberly Cusack, President(309) 360-8592
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
5013 N University St Ste 2
Peoria, IL 61614-4796
Phone: (309) 693-2220
Fax: (309) 693-2272
Street-level locationGet directions
Mailing address
5013 N University St Ste 2
Peoria, IL 61614-4796
Registry dates
- Enumerated
- 2024-10-15
- Last updated
- 2024-10-15
- Certified
- 2024-10-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.