Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134266620 Individual Practitioner Male Practitioner

Dr. Michael Peter Holub , DDS

Dentist - General Practice • Anna, IL

Professional Overview & Biography Verified Profile Summary

Dr. Michael Holub, DDS is a registered healthcare professional specializing in Dentist - General Practice in Anna, IL. Practice services are available at 513 N MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

513 N Main St

Anna, IL 629061668

Telephone 6188334471
Fax 6188336267
Associated Practice Facility / Clinic
🏢 Rural Health, Inc. Facility NPI 1982666384

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Anna, IL

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

Practicing in Anna, 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019-022619

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1002247 (IL)

Practice Associates & Co-Workers

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

35 Associated Practitioners
Marla Williams

Social Worker - Clinical

NPI 1033764881
NPI 1073503488

Doctor of Dental Medicine

Jacob Ribbing , PA

Physician Assistant

NPI 1083161020

Physician Assistant

NPI 1104300094

Advanced Practice Registered Nurse

Keith Bass , NP-C

Nurse Practitioner - Family

NPI 1114440179

Nurse Practitioner (Certified)

Jeffrey Sherrill , PA-C

Physician Assistant - Medical

NPI 1134470552

Physician Assistant (Certified)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active April 20, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location April 20, 2017

Registered at 513 N MAIN ST, ANNA, IL 629061668 (Tel: 6188334471)

📍
Updated Business Mailing Address April 20, 2017

Registered at 513 N MAIN ST, ANNA, IL 629061668 (Tel: 6188334471)

👤
Provider Name / Credentials Updated April 20, 2017

Recorded as MICHAEL HOLUB, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2017

Dentist (License #019-022619 in IL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1101 OPDYKE AVE., CHESTER, IL 622332004 (Tel: 6188264440)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1101 OPDYKE AVE., CHESTER, IL 622332004 (Tel: 6188264440)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL HOLUB, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist

🟢
Initial NPI Registration & Enumeration January 31, 2007

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: 1134266620
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 31, 2007
Last Update: April 20, 2017
Sole Proprietor: No

Mailing Address

513 N Main St

Anna, IL 629061668

Phone: 6188334471

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.