OrganizationActive
Sam Mudrik DDS Ltd
NPI 1679014062 · Dental Clinic/Center · Buffalo Grove, IL
Provider details
- NPI number
- 1679014062
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Teresa Sanchez, Front Desk Coordinator(847) 520-3020
- License
- 019.026125 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
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
317 W Dundee Rd
Buffalo Grove, IL 60089-3545
Phone: (847) 520-3020
Fax: (847) 520-7564
Street-level locationGet directions
Mailing address
317 W Dundee Rd
Buffalo Grove, IL 60089-3545
Registry dates
- Enumerated
- 2017-03-17
- Last updated
- 2017-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.