OrganizationActive
College Square Dental
NPI 1760665442 · General Practice Dentistry · Lisle, IL
Provider details
- NPI number
- 1760665442
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Deann Derrico, Business Administrator(630) 983-8700
- License
- 019-019814 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
6448 College Rd
Lisle, IL 60532-3290
Phone: (630) 983-8700
Street-level locationGet directions
Mailing address
6448 College Rd
Lisle, IL 60532-3290
Registry dates
- Enumerated
- 2007-12-17
- Last updated
- 2018-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.