Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063935989 Individual Practitioner Male Practitioner

Dr. David Dominguez , DMD

Dentist • Aurora, IL

Professional Overview & Biography Verified Profile Summary

Dr. David Dominguez, DMD is a registered healthcare professional specializing in Dentist in Aurora, IL. Practice services are available at 201 N CONSTITUTION DR # 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

201 N Constitution Dr # 1

Aurora, IL 605063214

Telephone 6308964516

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Aurora, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
72 Specialists

Practicing in Aurora, IL (4751 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019031489

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
019031489 (IL)

Secondary Practice Locations

157 S Lincoln Ave Ste C

Aurora, IL 605054291

Phone: 6308590155

3825 Campton Hills Dr

St Charles, IL 601756062

Phone: 6305840506

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. John Cummins , DDS

Dentist - General Practice

NPI 1366641805

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location January 09, 2019

Registered at 201 N CONSTITUTION DR # 1, AURORA, IL 605063214 (Tel: 6308964516)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2019

Dentist (License #019031489 in IL)

NPI Profile Active July 23, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2017

Registered at 1606 E GARRISON ST, EAGLE PASS, TX 788524932 (Tel: 8307571500)

📍
Updated Business Mailing Address July 23, 2017

Registered at 410 LAKEVIEW DR, AURORA, IL 605064444 (Tel: 6307155046)

👤
Provider Name / Credentials Updated July 23, 2017

Recorded as DAVID DOMINGUEZ, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2017

Dentist (License #33378 in TX)

🟢
Initial NPI Registration & Enumeration July 23, 2017

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: 1063935989
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2017
Last Update: January 09, 2019
Sole Proprietor: Yes

Mailing Address

410 Lakeview Dr

Aurora, IL 605064444

Phone: 6307155046

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.