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Active NPI 1376112698 Individual Practitioner Male Practitioner

Dr. Derek Leo Oconnor , DDS

Dentist • Bourbonnais, IL

Professional Overview & Biography Verified Profile Summary

Dr. Derek Oconnor, DDS is a registered healthcare professional specializing in Dentist in Bourbonnais, IL. Practice services are available at 801 MAIN ST NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

801 Main St Nw

Bourbonnais, IL 609142314

Telephone 8159323516
Associated Practice Facility / Clinic
🏢 Kelly L Oconnor Dds Pc Facility NPI 1700981552

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Bourbonnais, IL

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

Practicing in Bourbonnais, 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: 2021-04-06
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019033232

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

1 Associated Practitioners
NPI 1588833917

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 21, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 21, 2021

Registered at 801 MAIN ST NW, BOURBONNAIS, IL 609142314 (Tel: 8159323516)

📍
Updated Business Mailing Address June 21, 2021

Registered at 263 BARRINGTON LN, BOURBONNAIS, IL 609141673 (Tel: 8159551358)

👤
Provider Name / Credentials Updated June 21, 2021

Recorded as DEREK OCONNOR, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2021

Dentist (License #019033232 in IL)

🟢
Initial NPI Registration & Enumeration June 21, 2021

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: 1376112698
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 21, 2021
Last Update: June 21, 2021
Sole Proprietor: Yes

Mailing Address

263 Barrington Ln

Bourbonnais, IL 609141673

Phone: 8159551358

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.