Maple Shade Dental Group
NPI 1427116854 · Oral and Maxillofacial Surgery (Dentist) · Dunlap, IL
Maple Shade Dental Group is a Oral and Maxillofacial Surgery (Dentist) organization in Dunlap, IL (NPI 1427116854).
Provider details
- NPI number
- 1427116854
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Organization subpart
- No
- Authorized official
- Rodney Willey, Ceo(309) 243-7702
Specialties & taxonomies
Dental Providers
- General Practice Dentistry1223G0001X
Dental Providers
- Periodontics1223P0300X
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2006-12-05
- Last updated
- 2025-09-11
Frequently asked questions
- What is Maple Shade Dental Group's NPI number?
- Maple Shade Dental Group's National Provider Identifier (NPI) is 1427116854, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Maple Shade Dental Group?
- Maple Shade Dental Group is classified in the NPPES registry as Oral and Maxillofacial Surgery (Dentist) (Dental Providers).
- Where is Maple Shade Dental Group located?
- Maple Shade Dental Group's practice location on file with NPPES is 11825 N Knoxville Ave, Dunlap, IL 61525.
- What is Maple Shade Dental Group's phone number?
- The practice phone number listed in the NPPES registry for Maple Shade Dental Group is (309) 243-7702.
- Who is the authorized official for Maple Shade Dental Group?
- The authorized official listed on Maple Shade Dental Group's NPPES record is Rodney Willey, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Maple Shade Dental Group's NPI active?
- Yes — Maple Shade Dental Group's NPI (1427116854) is active in the NPPES registry as of the last update on 2025-09-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.