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Active NPI 1043737919 Individual Practitioner Male Practitioner

Dr. Syed Muhammad Shahabuddin , DDS

Dentist • Bolingbrook, IL

Professional Overview & Biography Verified Profile Summary

Dr. Syed Shahabuddin, DDS is a registered healthcare professional specializing in Dentist in Bolingbrook, IL. Practice services are available at 311 N BOLINGBROOK DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

311 N Bolingbrook Dr

Bolingbrook, IL 604401968

Telephone 6309143505
Fax 6309143508
Associated Practice Facility / Clinic
🏢 Syed Shahabuddin Dds, Pllc Facility NPI 1477260289

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Bolingbrook, IL

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

Practicing in Bolingbrook, 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: 2023-06-12
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019031376

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.

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location June 12, 2023

Registered at 311 N BOLINGBROOK DR, BOLINGBROOK, IL 604401968 (Tel: 6309143505)

NPI Profile Active August 23, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 23, 2017

Registered at 368 W WASHINGTON ST, EAST PEORIA, IL 616112036 (Tel: (309) 694-4444)

📍
Updated Business Mailing Address August 23, 2017

Registered at 368 W WASHINGTON ST, EAST PEORIA, IL 616112036 (Tel: 3096944444)

👤
Provider Name / Credentials Updated August 23, 2017

Recorded as SYED SHAHABUDDIN, DDS

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

Dentist (License #019031376 in IL)

🟢
Initial NPI Registration & Enumeration August 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: 1043737919
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2017
Last Update: June 12, 2023
Sole Proprietor: No

Mailing Address

368 W Washington St

East Peoria, IL 616112036

Phone: 3096944444

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.