OrganizationActive
Fairfield Dental
NPI 1629347497 · Dentist · Round Lake, IL
Provider details
- NPI number
- 1629347497
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Parent organization
- Lawrence Dental Group, P.C.
- Organization subpart
- Yes
- Authorized official
- George Korovilas, President(773) 740-4100
- License
- 019023746 (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
732 N Fairfield Rd
Round Lake, IL 60073-8160
Phone: (847) 740-4100
Street-level locationGet directions
Mailing address
3607 W Lawrence Ave
Chicago, IL 60625-5605
Registry dates
- Enumerated
- 2011-12-22
- Last updated
- 2011-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.