OrganizationActive
Lakemoor Dental
NPI 1356719603 · Dentist · Lakemoor, IL
Provider details
- NPI number
- 1356719603
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Sima Patel, Dentist(815) 363-8888
- License
- 019023300 (IL)
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
28956 W. Rt 120
Lakemoor, IL 60051
Phone: (815) 363-8888
Fax: (815) 363-8890
Approximate (ZIP-level) locationGet directions
Mailing address
28956 W. Rt 120
Lakemoor, IL 60051
Registry dates
- Enumerated
- 2015-09-03
- Last updated
- 2015-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.