IndividualActive
Alexey Botian, DDS
NPI 1639365406 · General Practice Dentistry · Mchenry, IL
Provider details
- NPI number
- 1639365406
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- A12886 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
4306 W Crystal Lake Rd
Mchenry, IL 60050-4280
Phone: (815) 344-0700
Fax: (815) 344-2146
Street-level locationGet directions
Mailing address
4306 W Crystal Lake Rd
Mchenry, IL 60050-4280
Registry dates
- Enumerated
- 2007-09-14
- Last updated
- 2007-09-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.