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Active NPI 1326663873 Individual Practitioner Female Practitioner

Srutha Keerthi Chebolu

Dentist - General Practice • Bloomington, IL

Professional Overview & Biography Verified Profile Summary

Srutha Keerthi Chebolu is a registered healthcare professional specializing in Dentist - General Practice in Bloomington, IL. Practice services are available at 401 N VETERANS PKWY STE 4 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

401 N Veterans Pkwy Ste 4

Bloomington, IL 617047716

Telephone 3098081317
Associated Practice Facility / Clinic
🏢 Optim Dental Bloomington Llc Facility NPI 1902251911

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bloomington, IL

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

Practicing in Bloomington, 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: 2020-06-10
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019.032686

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

1 Associated Practitioners
NPI 1265926745

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 June 10, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 10, 2020

Registered at 401 N VETERANS PKWY STE 4, BLOOMINGTON, IL 617047716 (Tel: 3098081317)

📍
Updated Business Mailing Address June 10, 2020

Registered at 401 N VETERANS PKWY STE 4, BLOOMINGTON, IL 617047716 (Tel: 3098081317)

👤
Provider Name / Credentials Updated June 10, 2020

Recorded as SRUTHA KEERTHI CHEBOLU

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2020

Dentist (License #019.032686 in IL)

🟢
Initial NPI Registration & Enumeration June 10, 2020

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: 1326663873
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2020
Last Update: June 10, 2020
Sole Proprietor: No

Mailing Address

401 N Veterans Pkwy Ste 4

Bloomington, IL 617047716

Phone: 3098081317

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.