OrganizationActive
Autumn Dental of Mokena LLC
NPI 1427576750 · Dental Clinic/Center · Mokena, IL
Autumn Dental of Mokena LLC is a Dental Clinic/Center organization in Mokena, IL (NPI 1427576750).
Provider details
- NPI number
- 1427576750
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Scott Bares, Owner(815) 275-2680
- License
- 019027024 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
19848 S La Grange Rd
Mokena, IL 60448-9339
Phone: (708) 995-1859
Street-level locationGet directions
Mailing address
208 N Walnut Ave
Forreston, IL 61030-9330
Registry dates
- Enumerated
- 2017-09-07
- Last updated
- 2017-09-07
Frequently asked questions
- What is Autumn Dental of Mokena LLC's NPI number?
- Autumn Dental of Mokena LLC's National Provider Identifier (NPI) is 1427576750, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Autumn Dental of Mokena LLC?
- Autumn Dental of Mokena LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Autumn Dental of Mokena LLC located?
- Autumn Dental of Mokena LLC's practice location on file with NPPES is 19848 S La Grange Rd, Mokena, IL 60448-9339.
- What is Autumn Dental of Mokena LLC's phone number?
- The practice phone number listed in the NPPES registry for Autumn Dental of Mokena LLC is (708) 995-1859.
- Who is the authorized official for Autumn Dental of Mokena LLC?
- The authorized official listed on Autumn Dental of Mokena LLC's NPPES record is Scott Bares, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Autumn Dental of Mokena LLC's NPI active?
- Yes — Autumn Dental of Mokena LLC's NPI (1427576750) is active in the NPPES registry as of the last update on 2017-09-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.