OrganizationActive
Dental Professionals of Illinois, P.C
NPI 1568046969 · Orthodontics and Dentofacial Orthopedics Dentistry · Naperville, IL
Provider details
- NPI number
- 1568046969
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Parent organization
- Dental Professionals of Illinois, P.C.
- Organization subpart
- Yes
- Authorized official
- Tabatha Lemke, Credentialing Coordinator(217) 540-6078
Specialties & taxonomies
Dental Providers
- General Practice Dentistry1223G0001X
Dental Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
55 S Main St Ste 271
Naperville, IL 60540-8044
Phone: (630) 848-6960
Street-level locationGet directions
Mailing address
55 S Main St Ste 271
Naperville, IL 60540-8044
Other names (DBA / former)
- Doing business as
- Innovative Orthodontic Centers
- Doing business as
- Innovative Orthodontic Centers
Registry dates
- Enumerated
- 2021-05-11
- Last updated
- 2021-06-04
- Certified
- 2021-06-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.