OrganizationActive
Psp Dental Services PC
NPI 1366930604 · Dental Clinic/Center · Oak Lawn, IL
Provider details
- NPI number
- 1366930604
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Paraj Patel, President(201) 303-8996
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
5425 W 95th St
Oak Lawn, IL 60453-2354
Phone: (708) 636-0565
Fax: (708) 636-0566
Street-level locationGet directions
Mailing address
5425 W 95th St
Oak Lawn, IL 60453-2354
Other names (DBA / former)
- Doing business as
- Roots Dental Studio
Registry dates
- Enumerated
- 2018-04-23
- Last updated
- 2025-01-08
- Certified
- 2025-01-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.