OrganizationActive
The Tooth Repair Shoppe, Ltd.
NPI 1669529145 · General Practice Dentistry · Wheaton, IL
Provider details
- NPI number
- 1669529145
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Gregory Calleia, Dentist(630) 682-0844
- License
- 060008257 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
610 W Roosevelt Rd
Suite A1
Wheaton, IL 60187-5087
Phone: (630) 682-0844
Fax: (630) 682-1428
Street-level locationGet directions
Mailing address
610 W. Roosevelt Road
Wheaton, IL 60187
Registry dates
- Enumerated
- 2007-01-05
- Last updated
- 2008-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.