Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1598053837 Individual Practitioner Male Practitioner

Dr. Siddharth Bansal , DMD

Dentist • Chicago, IL

Professional Overview & Biography Verified Profile Summary

Dr. Siddharth Bansal, DMD is a registered healthcare professional specializing in Dentist in Chicago, IL. Practice services are available at 6636 S PULASKI RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6636 S Pulaski Rd

Chicago, IL 606295138

Telephone 3528728066
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.1 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
1207 Specialists

Practicing in Chicago, IL (4751 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019028736

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
12 (IL)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 20, 2011

NPI status registered as active in NPPES database

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Updated Practice Location July 20, 2011

Registered at 6636 S PULASKI RD, CHICAGO, IL 606295138 (Tel: 3528728066)

📍
Updated Business Mailing Address July 20, 2011

Registered at 6636 SOUTH PULASKI, CHICAGO, IL 60629 (Tel: 3528728066)

👤
Provider Name / Credentials Updated July 20, 2011

Recorded as SIDDHARTH BANSAL, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2011

Dentist (License #019028736 in IL)

🟢
Initial NPI Registration & Enumeration July 20, 2011

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: 1598053837
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2011
Last Update: July 20, 2011
Sole Proprietor: No

Mailing Address

6636 South Pulaski

Chicago, IL 60629

Phone: 3528728066

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.