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Active NPI 1821413451 Individual Practitioner Female Practitioner

Dr. Shruti Pore , DMD

Dentist • Bartonville, IL

Professional Overview & Biography Verified Profile Summary

Dr. Shruti Pore, DMD is a registered healthcare professional specializing in Dentist in Bartonville, IL. Practice services are available at 1522 W GARFIELD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1522 W Garfield Ave

Bartonville, IL 616071755

Telephone 3096972228
Associated Practice Facility / Clinic
🏢 Associates In Dentistry Facility NPI 1508948159

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Bartonville, IL

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

Practicing in Bartonville, 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 019030433

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. Richard Bernard , DDS

Dentist - General Practice

NPI 1720240971

Doctor of Dental Surgery

Dr. Landall Cormier , DDS

Dentist - General Practice

NPI 1740362466

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 28, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 28, 2015

Registered at 1522 W GARFIELD AVE, BARTONVILLE, IL 616071755 (Tel: 3096972228)

📍
Updated Business Mailing Address August 28, 2015

Registered at 1518 W GARFIELD AVE, BARTONVILLE, IL 616071755

👤
Provider Name / Credentials Updated August 28, 2015

Recorded as SHRUTI PORE, D.M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2015

Dentist (License #019030433 in IL)

🟢
Initial NPI Registration & Enumeration February 18, 2014

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: 1821413451
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 18, 2014
Last Update: August 28, 2015
Sole Proprietor: No

Mailing Address

1518 W Garfield Ave

Bartonville, IL 616071755

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.