OrganizationActive
Skyline Smiles of Roscoe Village LLC
NPI 1720433915 · General Practice Dentistry · Chicago, IL
Skyline Smiles of Roscoe Village LLC is a General Practice Dentistry organization in Chicago, IL (NPI 1720433915).
Provider details
- NPI number
- 1720433915
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Deepak Neduvelil, Owner(312) 759-1120
- License
- 019027964 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
2125 W Roscoe St
Unit a
Chicago, IL 60618-6219
Phone: (312) 759-1120
Fax: (312) 624-9217
Street-level locationGet directions
Mailing address
2125 W Roscoe St
Chicago, IL 60618-6219
Registry dates
- Enumerated
- 2016-04-26
- Last updated
- 2016-04-26
Frequently asked questions
- What is Skyline Smiles of Roscoe Village LLC's NPI number?
- Skyline Smiles of Roscoe Village LLC's National Provider Identifier (NPI) is 1720433915, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Skyline Smiles of Roscoe Village LLC?
- Skyline Smiles of Roscoe Village LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Skyline Smiles of Roscoe Village LLC located?
- Skyline Smiles of Roscoe Village LLC's practice location on file with NPPES is 2125 W Roscoe St, Chicago, IL 60618-6219.
- What is Skyline Smiles of Roscoe Village LLC's phone number?
- The practice phone number listed in the NPPES registry for Skyline Smiles of Roscoe Village LLC is (312) 759-1120.
- Who is the authorized official for Skyline Smiles of Roscoe Village LLC?
- The authorized official listed on Skyline Smiles of Roscoe Village LLC's NPPES record is Deepak Neduvelil, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Skyline Smiles of Roscoe Village LLC's NPI active?
- Yes — Skyline Smiles of Roscoe Village LLC's NPI (1720433915) is active in the NPPES registry as of the last update on 2016-04-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.