OrganizationActive
A Dental Place Ltd
NPI 1356617492 · General Practice Dentistry · Lombard, IL
Provider details
- NPI number
- 1356617492
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Dan Fong, Owner(630) 620-7300
- License
- 19020812 (IL)
Specialties & taxonomies
Dental Providers
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
845 S Main St
Suite 202
Lombard, IL 60148-3350
Phone: (630) 620-7300
Fax: (630) 620-7352
Street-level locationGet directions
Mailing address
845 S Main St
Lombard, IL 60148-3350
Other names (DBA / former)
- Doing business as
- A Dental Place Ltd.
Registry dates
- Enumerated
- 2012-03-22
- Last updated
- 2012-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.