OrganizationActive
Amdental Inc
NPI 1417440611 · Dentist · Waukegan, IL
Provider details
- NPI number
- 1417440611
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Annie Mirza, Owner(415) 890-6337
Specialties & taxonomies
Dental Providers
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
1421 N Lewis Ave
Waukegan, IL 60085-1757
Phone: (415) 890-6337
Street-level locationGet directions
Mailing address
5845 W Foster Ave
Chicago, IL 60630-4635
Other names (DBA / former)
- Doing business as
- Lifetime Dental
Registry dates
- Enumerated
- 2018-06-12
- Last updated
- 2018-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.