OrganizationActive
Custom Dental Care, P.C.
NPI 1932452893 · Dentist · Quincy, IL
Custom Dental Care, P.C. is a Dentist organization in Quincy, IL (NPI 1932452893).
Provider details
- NPI number
- 1932452893
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Dennis Wagner, Owner/President(217) 430-1429
- License
- 019027406 (IL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
3740 E Lake Ctr Ste B
Quincy, IL 62305-5805
Phone: (217) 214-4545
Fax: (217) 214-4546
Street-level locationGet directions
Mailing address
3740 E Lake Ctr Ste B
Quincy, IL 62305-5805
Registry dates
- Enumerated
- 2012-10-17
- Last updated
- 2012-10-17
Frequently asked questions
- What is Custom Dental Care, P.C.'s NPI number?
- Custom Dental Care, P.C.'s National Provider Identifier (NPI) is 1932452893, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Custom Dental Care, P.C.?
- Custom Dental Care, P.C. is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Custom Dental Care, P.C. located?
- Custom Dental Care, P.C.'s practice location on file with NPPES is 3740 E Lake Ctr Ste B, Quincy, IL 62305-5805.
- What is Custom Dental Care, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Custom Dental Care, P.C. is (217) 214-4545.
- Who is the authorized official for Custom Dental Care, P.C.?
- The authorized official listed on Custom Dental Care, P.C.'s NPPES record is Dennis Wagner, Owner/President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Custom Dental Care, P.C.'s NPI active?
- Yes — Custom Dental Care, P.C.'s NPI (1932452893) is active in the NPPES registry as of the last update on 2012-10-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.