Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831074608 Individual Practitioner Male Practitioner

Dr. Stefan Mangushev , DDS

Dentist - General Practice • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Dr. Stefan Mangushev, DDS is a registered healthcare professional specializing in Dentist - General Practice in Chicago, IL. Practice services are available at 350 N CLARK ST STE 600 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

350 N Clark St Ste 600

Chicago, IL 606544782

Telephone 3122740308
Associated Practice Facility / Clinic
🏢 Dental Dreams, Llc Facility NPI 1417128109

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
1200 Specialists

Practicing in Chicago, IL (5581 Statewide)

Telehealth Adoption Rate
0.1% 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: 2025-08-27
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019.036478

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners
Dr. Aditi Jindal , DMD

Dentist - General Practice

NPI 1093027138

Doctor of Dental Medicine

Dr. Malavika Prasanna , BDS, DDS

Dentist - General Practice

NPI 1104130038

BDS, Doctor of Dental Surgery

Dr. Shikha Kapoor , DDS

Dentist - General Practice

NPI 1114201621

Doctor of Dental Surgery

Dr. Sathya Priya Meda Naga , DDS

Dentist - General Practice

NPI 1184821936

Doctor of Dental Surgery

NPI 1215249115

Doctor of Dental Surgery

Dr. Prashant Garg , DDS

Dentist - General Practice

NPI 1235367962

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2025

Dentist (License #019.036478 in IL)

NPI Profile Active August 09, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location August 09, 2025

Registered at 350 N CLARK ST STE 600, CHICAGO, IL 606544782 (Tel: 3122740308)

📍
Updated Business Mailing Address August 09, 2025

Registered at 2252 SMOKEY SKY DR, HENDERSON, NV 890525821 (Tel: 7024174380)

👤
Provider Name / Credentials Updated August 09, 2025

Recorded as STEFAN MANGUSHEV, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2025

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 09, 2025

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: 1831074608
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2025
Last Update: August 27, 2025
Sole Proprietor: No

Mailing Address

2252 Smokey Sky Dr

Henderson, NV 890525821

Phone: 7024174380

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.