OrganizationActive
Kankakee Dental PLLC
NPI 1780256503 · Dental Clinic/Center · Kankakee, IL
Kankakee Dental PLLC is a Dental Clinic/Center organization in Kankakee, IL (NPI 1780256503).
Provider details
- NPI number
- 1780256503
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kevin Fatland, Member(708) 990-7869
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
200 E Court St Ste 504
Kankakee, IL 60901-3847
Phone: (815) 932-3613
Street-level locationGet directions
Mailing address
200 E Court St Ste 504
Kankakee, IL 60901-3847
Registry dates
- Enumerated
- 2021-07-12
- Last updated
- 2021-07-12
- Certified
- 2021-07-12
Frequently asked questions
- What is Kankakee Dental PLLC's NPI number?
- Kankakee Dental PLLC's National Provider Identifier (NPI) is 1780256503, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kankakee Dental PLLC?
- Kankakee Dental PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Kankakee Dental PLLC located?
- Kankakee Dental PLLC's practice location on file with NPPES is 200 E Court St Ste 504, Kankakee, IL 60901-3847.
- What is Kankakee Dental PLLC's phone number?
- The practice phone number listed in the NPPES registry for Kankakee Dental PLLC is (815) 932-3613.
- Who is the authorized official for Kankakee Dental PLLC?
- The authorized official listed on Kankakee Dental PLLC's NPPES record is Kevin Fatland, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kankakee Dental PLLC's NPI active?
- Yes — Kankakee Dental PLLC's NPI (1780256503) is active in the NPPES registry as of the last update on 2021-07-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.