OrganizationActive
Dental Theory Ltd
NPI 1417657974 · General Practice Dentistry · Aurora, IL
Provider details
- NPI number
- 1417657974
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Satish Gottumukkula, Owner(630) 618-0882
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
1940 W Galena Blvd Ste 11
Aurora, IL 60506-4483
Phone: (630) 892-7087
Street-level locationGet directions
Mailing address
1940 W Galena Blvd Ste 11
Aurora, IL 60506-4483
Other names (DBA / former)
- Doing business as
- City of Lights Dental
Registry dates
- Enumerated
- 2023-03-03
- Last updated
- 2023-03-03
- Certified
- 2023-03-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.