OrganizationActive
Shady Oak Dental - Byron Dental LLC
NPI 1871463760 · Dental Clinic/Center · Byron, IL
Shady Oak Dental - Byron Dental LLC is a Dental Clinic/Center organization in Byron, IL (NPI 1871463760).
Provider details
- NPI number
- 1871463760
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Scott Bares, President(815) 275-2680
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
503 W Blackhawk Dr
Byron, IL 61010-9647
Phone: (309) 369-3284
Street-level locationGet directions
Mailing address
1342 S Harlem Ave
Freeport, IL 61032-6231
Registry dates
- Enumerated
- 2025-11-06
- Last updated
- 2025-11-06
- Certified
- 2025-11-06
Frequently asked questions
- What is Shady Oak Dental - Byron Dental LLC's NPI number?
- Shady Oak Dental - Byron Dental LLC's National Provider Identifier (NPI) is 1871463760, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shady Oak Dental - Byron Dental LLC?
- Shady Oak Dental - Byron Dental LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Shady Oak Dental - Byron Dental LLC located?
- Shady Oak Dental - Byron Dental LLC's practice location on file with NPPES is 503 W Blackhawk Dr, Byron, IL 61010-9647.
- What is Shady Oak Dental - Byron Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Shady Oak Dental - Byron Dental LLC is (309) 369-3284.
- Who is the authorized official for Shady Oak Dental - Byron Dental LLC?
- The authorized official listed on Shady Oak Dental - Byron Dental LLC's NPPES record is Scott Bares, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shady Oak Dental - Byron Dental LLC's NPI active?
- Yes — Shady Oak Dental - Byron Dental LLC's NPI (1871463760) is active in the NPPES registry as of the last update on 2025-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.