OrganizationActive
Clove Dental PLLC
NPI 1588519904 · Dentist · Peoria Heights, IL
Clove Dental PLLC is a Dentist organization in Peoria Heights, IL (NPI 1588519904).
Provider details
- NPI number
- 1588519904
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Sandeep Thota, President(314) 651-6550
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
4207 N Prospect Rd
Peoria Heights, IL 61616-7754
Phone: (309) 323-8884
Fax: (309) 324-3336
Street-level locationGet directions
Mailing address
4207 N Prospect Rd
Peoria Heights, IL 61616-7754
Registry dates
- Enumerated
- 2026-03-02
- Last updated
- 2026-03-02
- Certified
- 2026-03-02
Frequently asked questions
- What is Clove Dental PLLC's NPI number?
- Clove Dental PLLC's National Provider Identifier (NPI) is 1588519904, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clove Dental PLLC?
- Clove Dental PLLC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Clove Dental PLLC located?
- Clove Dental PLLC's practice location on file with NPPES is 4207 N Prospect Rd, Peoria Heights, IL 61616-7754.
- What is Clove Dental PLLC's phone number?
- The practice phone number listed in the NPPES registry for Clove Dental PLLC is (309) 323-8884.
- Who is the authorized official for Clove Dental PLLC?
- The authorized official listed on Clove Dental PLLC's NPPES record is Sandeep Thota, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clove Dental PLLC's NPI active?
- Yes — Clove Dental PLLC's NPI (1588519904) is active in the NPPES registry as of the last update on 2026-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.