Luis Pedro Miron Carcamo
Dentist • Champaign, IL
Professional Overview & Biography Verified Profile Summary
Luis Miron Carcamo is a registered healthcare professional specializing in Dentist in Champaign, IL. Practice services are available at 1701 S PROSPECT AVE STE 201 under active NPI credentials.
Practice Location & Contact Primary Location
1701 S Prospect Ave Ste 201
Champaign, IL 618207054
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist in Champaign, IL
Practicing in Champaign, IL (4751 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2024-10-16NUCC Taxonomy Code: 122300000X
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.
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.
Additional State Medicaid & Healthcare Payer Identifiers
Secondary Practice Locations
1515 E Columbia St
Othello, WA 993441846
Phone: 5094885256
1051 Columbia Ave
Connell, WA 993268702
Phone: 5094885256
601 Government Rd
Mattawa, WA 993495120
Phone: 5094885256
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 1701 S PROSPECT AVE STE 201, CHAMPAIGN, IL 618207054 (Tel: 2173057980)
Registered at 1701 S PROSPECT AVE STE 201, CHAMPAIGN, IL 618207054 (Tel: 2173057980)
Registered at 1051 COLUMBIA AVE, CONNELL, WA 993268702 (Tel: 5094885256)
Dentist (License #DE60448654 in WA)
Registered at 1515 E COLUMBIA ST, OTHELLO, WA 993441846 (Tel: 5094885256)
Registered at 1515 E COLUMBIA ST, OTHELLO, WA 993441846 (Tel: 5094885256)
NPI status registered as active in NPPES database
Registered at 140 E MAIN ST, OTHELLO, WA 993441040 (Tel: 5094885256)
Registered at 1140 W EDISON STREET, CONNELL, WA 99326 (Tel: 5094885256)
Recorded as LUIS MIRON CARCAMO
Dentist (License #DE60448654 in WA)
NPI status registered as active in NPPES database
Registered at 263 FARMINGTON AVE, FARMINGTON, CT 060300001 (Tel: 8606792000)
Registered at 29 WELLINGTON DR, FARMINGTON, CT 060323208 (Tel: 8608164396)
Recorded as LUIS MIRON CARCAMO
Dentist (License #011121 in CT)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1701 S Prospect Ave Ste 201
Champaign, IL 618207054
Phone: 2173057980
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.