OrganizationActive
Thomas L. Prendergast, DDS, PC
NPI 1639438765 · General Practice Dentistry · Fox Lake, IL
Provider details
- NPI number
- 1639438765
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Thomas Prendergast, President(847) 587-5053
- License
- 019-022387 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(79/100 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
1394 S Route 12
Fox Lake, IL 60020-1949
Phone: (847) 587-5053
Street-level locationGet directions
Mailing address
1394 S Route 12
Fox Lake, IL 60020-1949
Registry dates
- Enumerated
- 2012-05-09
- Last updated
- 2012-05-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.