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Active NPI 1306452289 Individual Practitioner Female Practitioner

Dr. Shivani R Shah , DMD

Dentist - General Practice • Dixon, IL

Professional Overview & Biography Verified Profile Summary

Dr. Shivani Shah, DMD is a registered healthcare professional specializing in Dentist - General Practice in Dixon, IL. Practice services are available at 1355 N GALENA AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1355 N Galena Ave

Dixon, IL 610211009

Telephone 8152841995
Associated Practice Facility / Clinic
🏢 Everyone's Family Dental St Charles Llc Facility NPI 1255796074

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Dixon, IL

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

Practicing in Dixon, 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

CMS Verified: 2020-09-16
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019032899

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

1 Associated Practitioners
Dr. Gabriella Brigando , DMD, MBS

Dentist - General Practice

NPI 1851083331

Doctor of Dental Medicine, MBS

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active September 16, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location September 16, 2020

Registered at 1355 N GALENA AVE, DIXON, IL 610211009 (Tel: 8152841995)

📍
Updated Business Mailing Address September 16, 2020

Registered at 1420 NAPLES CT, BARTLETT, IL 601038970 (Tel: 6304154567)

👤
Provider Name / Credentials Updated September 16, 2020

Recorded as SHIVANI SHAH, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2020

Dentist (License #019032899 in IL)

🟢
Initial NPI Registration & Enumeration September 16, 2020

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: 1306452289
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 16, 2020
Last Update: September 16, 2020
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

1420 Naples Ct

Bartlett, IL 601038970

Phone: 6304154567

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.