OrganizationActive
Prairie Dental Partners LLC
NPI 1669935193 · Dentist · Lisle, IL
Provider details
- NPI number
- 1669935193
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Oscar Gonzalez, Director of Operations(219) 465-8627
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
4746 Main St
Lisle, IL 60532-1724
Phone: (630) 968-5078
Street-level locationGet directions
Mailing address
4746 Main St
Lisle, IL 60532-1724
Registry dates
- Enumerated
- 2019-04-11
- Last updated
- 2019-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.