OrganizationActive
Periodontics & Implants, Ltd.
NPI 1962653600 · Periodontics · Evanston, IL
Periodontics & Implants, Ltd. is a Periodontics organization in Evanston, IL (NPI 1962653600).
Provider details
- NPI number
- 1962653600
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Richard Prendergast, President/Periodontist(847) 491-1880
- License
- 021000596 (IL)
Specialties & taxonomies
Dental Providers
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
636 Church St
Suite 707
Evanston, IL 60201-4508
Phone: (847) 491-1880
Street-level locationGet directions
Mailing address
636 Church St
Evanston, IL 60201-4508
Registry dates
- Enumerated
- 2008-09-30
- Last updated
- 2008-09-30
Frequently asked questions
- What is Periodontics & Implants, Ltd.'s NPI number?
- Periodontics & Implants, Ltd.'s National Provider Identifier (NPI) is 1962653600, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Periodontics & Implants, Ltd.?
- Periodontics & Implants, Ltd. is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Periodontics & Implants, Ltd. located?
- Periodontics & Implants, Ltd.'s practice location on file with NPPES is 636 Church St, Evanston, IL 60201-4508.
- What is Periodontics & Implants, Ltd.'s phone number?
- The practice phone number listed in the NPPES registry for Periodontics & Implants, Ltd. is (847) 491-1880.
- Who is the authorized official for Periodontics & Implants, Ltd.?
- The authorized official listed on Periodontics & Implants, Ltd.'s NPPES record is Richard Prendergast, President/Periodontist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Periodontics & Implants, Ltd.'s NPI active?
- Yes — Periodontics & Implants, Ltd.'s NPI (1962653600) is active in the NPPES registry as of the last update on 2008-09-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.