Shady Oak Dental LLC Oral and Maxillofacial Surgeons of Northwest Il
NPI 1437703113 · Oral and Maxillofacial Surgery Clinic/Center · Forreston, IL
Shady Oak Dental LLC Oral and Maxillofacial Surgeons of Northwest Il is a Oral and Maxillofacial Surgery Clinic/Center organization in Forreston, IL (NPI 1437703113).
Provider details
- NPI number
- 1437703113
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Scott Bares, President(815) 938-2575
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
- 2019-07-30
- Last updated
- 2019-07-30
Frequently asked questions
- What is Shady Oak Dental LLC Oral and Maxillofacial Surgeons of Northwest Il's NPI number?
- Shady Oak Dental LLC Oral and Maxillofacial Surgeons of Northwest Il's National Provider Identifier (NPI) is 1437703113, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shady Oak Dental LLC Oral and Maxillofacial Surgeons of Northwest Il?
- Shady Oak Dental LLC Oral and Maxillofacial Surgeons of Northwest Il is classified in the NPPES registry as Oral and Maxillofacial Surgery Clinic/Center (Ambulatory Health Care Facilities).
- Where is Shady Oak Dental LLC Oral and Maxillofacial Surgeons of Northwest Il located?
- Shady Oak Dental LLC Oral and Maxillofacial Surgeons of Northwest Il's practice location on file with NPPES is 208 N Walnut Ave, Forreston, IL 61030-9330.
- What is Shady Oak Dental LLC Oral and Maxillofacial Surgeons of Northwest Il's phone number?
- The practice phone number listed in the NPPES registry for Shady Oak Dental LLC Oral and Maxillofacial Surgeons of Northwest Il is (815) 938-2575.
- Who is the authorized official for Shady Oak Dental LLC Oral and Maxillofacial Surgeons of Northwest Il?
- The authorized official listed on Shady Oak Dental LLC Oral and Maxillofacial Surgeons of Northwest Il's NPPES record is Scott Bares, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shady Oak Dental LLC Oral and Maxillofacial Surgeons of Northwest Il's NPI active?
- Yes — Shady Oak Dental LLC Oral and Maxillofacial Surgeons of Northwest Il's NPI (1437703113) is active in the NPPES registry as of the last update on 2019-07-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.