OrganizationActive
Marengo Dental
NPI 1760608731 · General Practice Dentistry · Marengo, IL
Provider details
- NPI number
- 1760608731
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Gary Dettman, President(815) 568-1202
- License
- 019-020199 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 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
110 E Washington St
Marengo, IL 60152-3107
Phone: (815) 568-1202
Street-level locationGet directions
Mailing address
110 E Washington St
Marengo, IL 60152-3107
Registry dates
- Enumerated
- 2007-04-18
- Last updated
- 2008-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.