OrganizationActive
My Geriatric Dentist
NPI 1366064594 · General Practice Dentistry · Des Plaines, IL
My Geriatric Dentist is a General Practice Dentistry organization in Des Plaines, IL (NPI 1366064594).
Provider details
- NPI number
- 1366064594
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Lisa Blumofe, Dentist(847) 590-1880
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
2093 Rand Rd
Des Plaines, IL 60016-4727
Phone: (847) 590-1880
Fax: (708) 590-0868
Street-level locationGet directions
Mailing address
2093 Rand Rd
Des Plaines, IL 60016-4727
Registry dates
- Enumerated
- 2020-05-11
- Last updated
- 2020-05-11
- Certified
- 2020-05-11
Frequently asked questions
- What is My Geriatric Dentist's NPI number?
- My Geriatric Dentist's National Provider Identifier (NPI) is 1366064594, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is My Geriatric Dentist?
- My Geriatric Dentist is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is My Geriatric Dentist located?
- My Geriatric Dentist's practice location on file with NPPES is 2093 Rand Rd, Des Plaines, IL 60016-4727.
- What is My Geriatric Dentist's phone number?
- The practice phone number listed in the NPPES registry for My Geriatric Dentist is (847) 590-1880.
- Who is the authorized official for My Geriatric Dentist?
- The authorized official listed on My Geriatric Dentist's NPPES record is Lisa Blumofe, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is My Geriatric Dentist's NPI active?
- Yes — My Geriatric Dentist's NPI (1366064594) is active in the NPPES registry as of the last update on 2020-05-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.