Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952808297 Individual Practitioner Male Practitioner

Dr. Shadee T Mansour , DMD

Dentist • Barrington, IL

Professional Overview & Biography Verified Profile Summary

Dr. Shadee Mansour, DMD is a registered healthcare professional specializing in Dentist in Barrington, IL. Practice services are available at 203 W NORTHWEST HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

203 W Northwest Hwy

Barrington, IL 600103104

Telephone 8473816222

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Barrington, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
16 Specialists

Practicing in Barrington, 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

CMS Verified: 2020-12-08
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019.031873

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License OH 30.025463

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Connor Pennino , DDS

Dentist - General Practice

NPI 1295258085

Doctor of Dental Surgery

Dr. Douglas Pennino , DDS

Dentist - General Practice

NPI 1841364049

Doctor of Dental Surgery

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location December 08, 2020

Registered at 203 W NORTHWEST HWY, BARRINGTON, IL 600103104 (Tel: 8473816222)

📍
Updated Business Mailing Address December 08, 2020

Registered at 1113 LOUGHBOROUGH CT, WHEATON, IL 601897618 (Tel: 6308158042)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 08, 2020

Dentist (License #019.031873 in IL)

📍
Updated Practice Location June 05, 2018

Registered at 305 W 12TH AVE, COLUMBUS, OH 43210 (Tel: 6142922622)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2018

Dentist (License #30.025463 in OH)

NPI Profile Active April 12, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location April 12, 2018

Registered at 305 W 12TH AVE, COLUMBUS, OH 432101267 (Tel: 6142922622)

📍
Updated Business Mailing Address April 12, 2018

Registered at 3209 COLLEGE AVE, ALTON, IL 620024751 (Tel: 6308158042)

👤
Provider Name / Credentials Updated April 12, 2018

Recorded as SHADEE MANSOUR, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2018

Dentist (License #APP-000134783 in OH)

🟢
Initial NPI Registration & Enumeration April 12, 2018

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: 1952808297
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2018
Last Update: December 08, 2020
Sole Proprietor: Yes

Mailing Address

1113 Loughborough Ct

Wheaton, IL 601897618

Phone: 6308158042

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.