OrganizationActive
Dr Paul a Bruggeman DDS PC
NPI 1861565871 · Dentist · Crystal Lake, IL
Dr Paul a Bruggeman DDS PC is a Dentist organization in Crystal Lake, IL (NPI 1861565871).
Provider details
- NPI number
- 1861565871
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Paul Bruggeman, Owner(815) 455-3123
- License
- 19A14532 (IL)
Specialties & taxonomies
Dental Providers
- Dentist122300000X
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
17 S Virginia
Crystal Lake, IL 60014
Phone: (815) 455-3123
Fax: (815) 455-3139
Street-level locationGet directions
Mailing address
17 S Virginia
Crystal Lake, IL 60014
Registry dates
- Enumerated
- 2006-11-16
- Last updated
- 2020-08-22
Frequently asked questions
- What is Dr Paul a Bruggeman DDS PC's NPI number?
- Dr Paul a Bruggeman DDS PC's National Provider Identifier (NPI) is 1861565871, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dr Paul a Bruggeman DDS PC?
- Dr Paul a Bruggeman DDS PC is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Dr Paul a Bruggeman DDS PC located?
- Dr Paul a Bruggeman DDS PC's practice location on file with NPPES is 17 S Virginia, Crystal Lake, IL 60014.
- What is Dr Paul a Bruggeman DDS PC's phone number?
- The practice phone number listed in the NPPES registry for Dr Paul a Bruggeman DDS PC is (815) 455-3123.
- Who is the authorized official for Dr Paul a Bruggeman DDS PC?
- The authorized official listed on Dr Paul a Bruggeman DDS PC's NPPES record is Paul Bruggeman, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dr Paul a Bruggeman DDS PC's NPI active?
- Yes — Dr Paul a Bruggeman DDS PC's NPI (1861565871) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.