OrganizationActive
Periodontal Medicine and Surgical Specialists, LLC
NPI 1811036718 · Dental Clinic/Center · Oakbrook Terrace, IL
Provider details
- NPI number
- 1811036718
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- George Mandelaris, Owner Periodontist(630) 627-3930
- License
- 019030200 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Dental Providers
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
1s224 Summit Ave
Suite 205
Oakbrook Terrace, IL 60181-3983
Phone: (630) 627-3930
Fax: (630) 627-2148
Street-level locationGet directions
Mailing address
1s224 Summit Ave
Oakbrook Terrace, IL 60181-3983
Other names (DBA / former)
- Former legal business name
- Periodontal Medicine and Surgical Specialists, Ltd
Registry dates
- Enumerated
- 2007-02-06
- Last updated
- 2016-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.