OrganizationActive
Village Dental, PC
NPI 1417327750 · General Practice Dentistry · Kenilworth, IL
Village Dental, PC is a General Practice Dentistry organization in Kenilworth, IL (NPI 1417327750).
Provider details
- NPI number
- 1417327750
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Cathy Waterloo, Owner(847) 251-8990
- License
- 019022877 (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
523 Park Dr
Kenilworth, IL 60043-1082
Phone: (847) 251-8990
Fax: (847) 853-0781
Street-level locationGet directions
Mailing address
523 Park Dr
Kenilworth, IL 60043-1082
Registry dates
- Enumerated
- 2015-09-29
- Last updated
- 2015-09-29
Frequently asked questions
- What is Village Dental, PC's NPI number?
- Village Dental, PC's National Provider Identifier (NPI) is 1417327750, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Village Dental, PC?
- Village Dental, PC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Village Dental, PC located?
- Village Dental, PC's practice location on file with NPPES is 523 Park Dr, Kenilworth, IL 60043-1082.
- What is Village Dental, PC's phone number?
- The practice phone number listed in the NPPES registry for Village Dental, PC is (847) 251-8990.
- Who is the authorized official for Village Dental, PC?
- The authorized official listed on Village Dental, PC's NPPES record is Cathy Waterloo, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Village Dental, PC's NPI active?
- Yes — Village Dental, PC's NPI (1417327750) is active in the NPPES registry as of the last update on 2015-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.