OrganizationActive
Freeport Dental
NPI 1891165643 · General Practice Dentistry · Freeport, IL
Provider details
- NPI number
- 1891165643
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Shadyoak Dental
- Organization subpart
- Yes
- Authorized official
- Scott Bares, Owner(815) 656-4060
- License
- 019027024 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
1450 S West Ave
Freeport, IL 61032-6351
Phone: (815) 656-4060
Fax: (815) 656-2324
Street-level locationGet directions
Mailing address
1450 S West Ave
Freeport, IL 61032-6351
Registry dates
- Enumerated
- 2015-10-05
- Last updated
- 2015-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.