OrganizationActive
Lakemoor Dental
NPI 1356719603 · Dentist · Lakemoor, IL
Lakemoor Dental is a Dentist organization in Lakemoor, IL (NPI 1356719603).
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(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
Frequently asked questions
- What is Lakemoor Dental's NPI number?
- Lakemoor Dental's National Provider Identifier (NPI) is 1356719603, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakemoor Dental?
- Lakemoor Dental is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Lakemoor Dental located?
- Lakemoor Dental's practice location on file with NPPES is 28956 W. Rt 120, Lakemoor, IL 60051.
- What is Lakemoor Dental's phone number?
- The practice phone number listed in the NPPES registry for Lakemoor Dental is (815) 363-8888.
- Who is the authorized official for Lakemoor Dental?
- The authorized official listed on Lakemoor Dental's NPPES record is Sima Patel, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakemoor Dental's NPI active?
- Yes — Lakemoor Dental's NPI (1356719603) is active in the NPPES registry as of the last update on 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.