OrganizationActive
Cherryvale Dental Center LLC
NPI 1669094041 · Dental Clinic/Center · Rockford, IL
Cherryvale Dental Center LLC is a Dental Clinic/Center organization in Rockford, IL (NPI 1669094041).
Provider details
- NPI number
- 1669094041
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bart Paul, Sole Member(815) 332-3477
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
1957 Pawlisch Dr
Rockford, IL 61112-1067
Phone: (815) 332-3477
Fax: (815) 332-3470
Street-level locationGet directions
Mailing address
1957 Pawlisch Dr
Rockford, IL 61112-1067
Registry dates
- Enumerated
- 2020-05-08
- Last updated
- 2020-05-08
- Certified
- 2020-05-08
Frequently asked questions
- What is Cherryvale Dental Center LLC's NPI number?
- Cherryvale Dental Center LLC's National Provider Identifier (NPI) is 1669094041, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cherryvale Dental Center LLC?
- Cherryvale Dental Center LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Cherryvale Dental Center LLC located?
- Cherryvale Dental Center LLC's practice location on file with NPPES is 1957 Pawlisch Dr, Rockford, IL 61112-1067.
- What is Cherryvale Dental Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Cherryvale Dental Center LLC is (815) 332-3477.
- Who is the authorized official for Cherryvale Dental Center LLC?
- The authorized official listed on Cherryvale Dental Center LLC's NPPES record is Bart Paul, Sole Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cherryvale Dental Center LLC's NPI active?
- Yes — Cherryvale Dental Center LLC's NPI (1669094041) is active in the NPPES registry as of the last update on 2020-05-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.