IndividualActive
Kenneth Gerstein, DDS
NPI 1730243056 · Periodontics · Bloomington, IL
Kenneth Gerstein, DDS is a Periodontics provider in Bloomington, IL (NPI 1730243056).
Provider details
- NPI number
- 1730243056
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 019014048 (IL)
Specialties & taxonomies
Dental Providers
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
1404 Eastland Dr
Bloomington, IL 61701-3532
Phone: (309) 663-4711
Fax: (309) 663-1854
Street-level locationGet directions
Mailing address
1404 Eastland Dr
Bloomington, IL 61701-3532
Registry dates
- Enumerated
- 2006-12-21
- Last updated
- 2009-09-23
Frequently asked questions
- What is Kenneth Gerstein's NPI number?
- Kenneth Gerstein's National Provider Identifier (NPI) is 1730243056, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Gerstein's specialty?
- Kenneth Gerstein is listed in the NPPES registry with a primary specialty of Periodontics (Dental Providers).
- Where is Kenneth Gerstein located?
- Kenneth Gerstein's practice location on file with NPPES is 1404 Eastland Dr, Bloomington, IL 61701-3532.
- What is Kenneth Gerstein's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Gerstein is (309) 663-4711.
- Is Kenneth Gerstein's NPI active?
- Yes — Kenneth Gerstein's NPI (1730243056) is active in the NPPES registry as of the last update on 2009-09-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.