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Active NPI 1114702743 Individual Practitioner Male Practitioner

Dr. Eric Jeffrey Kubacki , DMD

Dentist - General Practice • Alton, IL

Professional Overview & Biography Verified Profile Summary

Dr. Eric Kubacki, DMD is a registered healthcare professional specializing in Dentist - General Practice in Alton, IL. Practice services are available at 2800 COLLEGE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2800 College Ave

Alton, IL 620024742

Telephone 6184747000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Alton, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
31 Specialists

Practicing in Alton, IL (5581 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-24
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019033726

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1013585421
Dr. Lucas Winebaugh , DMD

Dentist - General Practice

NPI 1023677218

Doctor of Dental Medicine

NPI 1033354956

Doctor of Dental Medicine

NPI 1093499246
NPI 1144591215

Doctor of Dental Medicine

Dr. Joseph Shea , DDS, MS

Dentist - Prosthodontics

NPI 1164565958

Doctor of Dental Surgery, Master of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2024

Dentist (License #019033726 in IL)

NPI Profile Active August 30, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location August 30, 2023

Registered at 2800 COLLEGE AVE, ALTON, IL 620024742 (Tel: 6184747000)

📍
Updated Business Mailing Address August 30, 2023

Registered at 1214 OAKLEAF DR, SAINT LOUIS, MO 631191038 (Tel: 8155312746)

👤
Provider Name / Credentials Updated August 30, 2023

Recorded as ERIC KUBACKI, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2023

Dentist (License #019.033726 in IL)

🟢
Initial NPI Registration & Enumeration August 30, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1114702743
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2023
Last Update: September 24, 2024
Sole Proprietor: No

Mailing Address

1214 Oakleaf Dr

Saint Louis, MO 631191038

Phone: 8155312746

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.