OrganizationActive
Dental Profile 2
NPI 1477724870 · General Practice Dentistry · Addison, IL
Dental Profile 2 is a General Practice Dentistry organization in Addison, IL (NPI 1477724870).
Provider details
- NPI number
- 1477724870
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Milan Roncevic, General Manager(630) 516-0000
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
120 E Lake St
Addison, IL 60101-2821
Phone: (630) 530-2498
Fax: (630) 530-2689
Street-level locationGet directions
Mailing address
120 E Lake St
Addison, IL 60101-2821
Registry dates
- Enumerated
- 2008-03-13
- Last updated
- 2008-03-13
Frequently asked questions
- What is Dental Profile 2's NPI number?
- Dental Profile 2's National Provider Identifier (NPI) is 1477724870, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dental Profile 2?
- Dental Profile 2 is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Dental Profile 2 located?
- Dental Profile 2's practice location on file with NPPES is 120 E Lake St, Addison, IL 60101-2821.
- What is Dental Profile 2's phone number?
- The practice phone number listed in the NPPES registry for Dental Profile 2 is (630) 530-2498.
- Who is the authorized official for Dental Profile 2?
- The authorized official listed on Dental Profile 2's NPPES record is Milan Roncevic, General Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dental Profile 2's NPI active?
- Yes — Dental Profile 2's NPI (1477724870) is active in the NPPES registry as of the last update on 2008-03-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.