OrganizationActive
South Park Dental Care
NPI 1881858835 · Dental Clinic/Center · South Holland, IL
Provider details
- NPI number
- 1881858835
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- South Park Dental Care
- Organization subpart
- Yes
- Authorized official
- Kenneth Johnson, President(708) 335-4387
- License
- 019018099 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
438 E 162nd St
South Holland, IL 60473-2258
Phone: (708) 333-0699
Street-level locationGet directions
Mailing address
438 E 162nd St
South Holland, IL 60473-2258
Other names (DBA / former)
- Doing business as
- Harvey Dental Associates
Registry dates
- Enumerated
- 2008-07-17
- Last updated
- 2008-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.