OrganizationActive
Mt. Greenwood Dental Clinic
NPI 1558637926 · Dentist · Chicago, IL
Mt. Greenwood Dental Clinic is a Dentist organization in Chicago, IL (NPI 1558637926).
Provider details
- NPI number
- 1558637926
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Kenneth Brocker, Owner(773) 238-4451
- License
- 019016104 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
3135 W 111th St
Chicago, IL 60655-2223
Phone: (773) 238-4451
Street-level locationGet directions
Mailing address
3135 W 111th St
Chicago, IL 60655-2223
Registry dates
- Enumerated
- 2012-03-29
- Last updated
- 2012-03-29
Frequently asked questions
- What is Mt. Greenwood Dental Clinic's NPI number?
- Mt. Greenwood Dental Clinic's National Provider Identifier (NPI) is 1558637926, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mt. Greenwood Dental Clinic?
- Mt. Greenwood Dental Clinic is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Mt. Greenwood Dental Clinic located?
- Mt. Greenwood Dental Clinic's practice location on file with NPPES is 3135 W 111th St, Chicago, IL 60655-2223.
- What is Mt. Greenwood Dental Clinic's phone number?
- The practice phone number listed in the NPPES registry for Mt. Greenwood Dental Clinic is (773) 238-4451.
- Who is the authorized official for Mt. Greenwood Dental Clinic?
- The authorized official listed on Mt. Greenwood Dental Clinic's NPPES record is Kenneth Brocker, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mt. Greenwood Dental Clinic's NPI active?
- Yes — Mt. Greenwood Dental Clinic's NPI (1558637926) is active in the NPPES registry as of the last update on 2012-03-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.