OrganizationActive
Dental Associates of Alsip, LLC
NPI 1669909370 · General Practice Dentistry · Alsip, IL
Provider details
- NPI number
- 1669909370
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Katherine Grueneberg, Chief Administrative Officer(414) 778-5274
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
5061 West 111th St.
Alsip, IL 60803-6074
Phone: (708) 422-6655
Fax: (708) 422-0628
Street-level locationGet directions
Mailing address
3333 N Mayfair Rd
Wauwatosa, WI 53222-3219
Registry dates
- Enumerated
- 2017-05-12
- Last updated
- 2017-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.