OrganizationActive
Shady Oak Dental LLC - Burlington Dental
NPI 1396351425 · Dentist · Burlington, IL
Shady Oak Dental LLC - Burlington Dental is a Dentist organization in Burlington, IL (NPI 1396351425).
Provider details
- NPI number
- 1396351425
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Parent organization
- Shady Oak Dental LLC
- Organization subpart
- Yes
- Authorized official
- Scott Bares, President(815) 938-2575
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
255 S Main St
Burlington, IL 60109-1116
Phone: (847) 683-9812
Street-level locationGet directions
Mailing address
255 S Main St
Burlington, IL 60109-1116
Other names (DBA / former)
- Doing business as
- Burlington Dental
Registry dates
- Enumerated
- 2020-09-23
- Last updated
- 2020-09-23
- Certified
- 2020-09-23
Frequently asked questions
- What is Shady Oak Dental LLC - Burlington Dental's NPI number?
- Shady Oak Dental LLC - Burlington Dental's National Provider Identifier (NPI) is 1396351425, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shady Oak Dental LLC - Burlington Dental?
- Shady Oak Dental LLC - Burlington Dental is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Shady Oak Dental LLC - Burlington Dental located?
- Shady Oak Dental LLC - Burlington Dental's practice location on file with NPPES is 255 S Main St, Burlington, IL 60109-1116.
- What is Shady Oak Dental LLC - Burlington Dental's phone number?
- The practice phone number listed in the NPPES registry for Shady Oak Dental LLC - Burlington Dental is (847) 683-9812.
- Who is the authorized official for Shady Oak Dental LLC - Burlington Dental?
- The authorized official listed on Shady Oak Dental LLC - Burlington Dental's NPPES record is Scott Bares, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shady Oak Dental LLC - Burlington Dental's NPI active?
- Yes — Shady Oak Dental LLC - Burlington Dental's NPI (1396351425) is active in the NPPES registry as of the last update on 2020-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.