Active NPI 1336200450 Individual Practitioner Female Practitioner

Dr. Deepa Sridhar , DMD

Dentist - General Practice • Bolingbrook, IL

Professional Overview & Biography Verified Profile Summary

Dr. Deepa Sridhar, DMD is a registered healthcare professional specializing in Dentist - General Practice in Bolingbrook, IL. Practice services are available at 217 S BOLINGBROOK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

217 S Bolingbrook Dr

Bolingbrook, IL 604402931

Telephone 6303134918

Associated Practice Facility / Clinic

🏢 Deepa Sridhar P.c Facility NPI 1659762631

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bolingbrook, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 18.0 Yrs

Regional Practice Density

23 Specialists

Practicing in Bolingbrook, 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 019-026471

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

9178432 (IL)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 18, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location March 18, 2015

Registered at 217 S BOLINGBROOK DR, BOLINGBROOK, IL 604402931 (Tel: 6303134918)

📍

Updated Business Mailing Address March 18, 2015

Registered at 2952 FOREST CREEK LN, NAPERVILLE, IL 605653579 (Tel: 3127317713)

👤

Provider Name / Credentials Updated March 18, 2015

Recorded as DEEPA SRIDHAR, DMD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2015

Dentist (License #019-026471 in IL)

🟢

Initial NPI Registration & Enumeration December 13, 2006

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: 1336200450

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 13, 2006

Last Update: March 18, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2952 Forest Creek Ln

Naperville, IL 605653579

Phone: 3127317713

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.