Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336150937 Individual Practitioner Male Practitioner

Dr. Gary James Pellizzaro , DMD

Dentist - General Practice • Carlinville, IL

Professional Overview & Biography Verified Profile Summary

Dr. Gary Pellizzaro, DMD is a registered healthcare professional specializing in Dentist - General Practice in Carlinville, IL. Practice services are available at 827 N BROAD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

827 N Broad St

Carlinville, IL 626261075

Telephone 2178545059

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Carlinville, IL

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

Practicing in Carlinville, 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

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 827 N BROAD ST, CARLINVILLE, IL 626261075 (Tel: 2178545059)

📍
Updated Business Mailing Address July 08, 2007

Registered at 827 N BROAD ST, CARLINVILLE, IL 626261075 (Tel: 2178545059)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GARY PELLIZZARO, D.M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist

🟢
Initial NPI Registration & Enumeration August 10, 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: 1336150937
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

827 N Broad St

Carlinville, IL 626261075

Phone: 2178545059

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.