PERIODONTICS & IMPLANTS, LTD. – Periodontics, NPI 1962653600

PERIODONTICS & IMPLANTS, LTD. is a healthcare provider. based in Evanston, Illinois. specializing in Periodontics. The organization holds a License No. 021000596 (IL). The NPI Number for PERIODONTICS & IMPLANTS, LTD. is 1962653600

Main info

Organization
Name
PERIODONTICS & IMPLANTS, LTD.
NPI
1962653600
Phone
(847) 491-1880
Address
636 CHURCH ST
Authorized Official
DR. RICHARD C PRENDERGAST PRESIDENT/PERIODONTIST D.D.S., M.S.
Enumeration Date
30 September 2008
Last Update Date
30 September 2008
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:17State licenses:1Digital endpointsOther names

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Provider Addresses for PERIODONTICS & IMPLANTS, LTD.

  • 636, Church Street, Downtown, Evanston, Evanston Township, Cook County, Illinois, 60201, United States

    SUITE 707

    EVANSTON, IL 602014508

    Phone: (847) 491-1880

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60201)

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Reviews

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Frequently asked questions

How do payers reference PERIODONTICS & IMPLANTS, LTD.?
For PERIODONTICS & IMPLANTS, LTD., use NPI 1962653600 as the unique 10-digit identifier.
Would PERIODONTICS & IMPLANTS, LTD. appear as active to a payer?
You can treat PERIODONTICS & IMPLANTS, LTD. as active for directory purposes; confirm clinical privileges separately.
How would a patient describe PERIODONTICS & IMPLANTS, LTD.'s focus?
For PERIODONTICS & IMPLANTS, LTD., the primary taxonomy reads as Periodontics. Clinical services aligned with this taxonomy classification.
Is PERIODONTICS & IMPLANTS, LTD. associated with Evanston?
Public fields place PERIODONTICS & IMPLANTS, LTD. around Evanston, Illinois. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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