OrganizationActive
Woodlawn Dental Gallery
NPI 1568838043 · Dentist · Chicago, IL
Provider details
- NPI number
- 1568838043
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Ogbonna Bowden, President(773) 793-1220
- License
- 019027749 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
1502 E 63rd St
Chicago, IL 60637-2921
Phone: (773) 496-5138
Fax: (773) 496-5142
Street-level locationGet directions
Mailing address
8544 S Stony Island Ave
Chicago, IL 60617-2248
Registry dates
- Enumerated
- 2015-08-19
- Last updated
- 2015-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.