OrganizationActive
Lisle Dental Specialists,inc
NPI 1801633664 · Periodontics · Lisle, IL
Provider details
- NPI number
- 1801633664
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Douglad Chang, Owner(630) 747-7778
Specialties & taxonomies
Dental Providers
- Endodontics1223E0200X
Dental Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
6070 State Route 53
Lisle, IL 60532-3395
Phone: (630) 426-7365
Fax: (630) 963-9344
Street-level locationGet directions
Mailing address
6070 State Route 53
Lisle, IL 60532-3395
Registry dates
- Enumerated
- 2024-07-10
- Last updated
- 2024-07-10
- Certified
- 2024-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.