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Active NPI 1790857886 Individual Practitioner Female Practitioner

Dr. Susan Edukutharayil , DDS

Dentist - General Practice • Elgin, IL

Professional Overview & Biography Verified Profile Summary

Dr. Susan Edukutharayil, DDS is a registered healthcare professional specializing in Dentist - General Practice in Elgin, IL. Practice services are available at 115 S GROVE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

115 S Grove Ave
Ste 204

Elgin, IL 601206430

Telephone 8476081122
Fax 8476081133
Associated Practice Facility / Clinic
🏢 Procare Dental Group, P.c. Facility NPI 1912064155

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Elgin, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
51 Specialists

Practicing in Elgin, 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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Bhumika Patel , DDS

Dentist - General Practice

NPI 1629389333

Doctor of Dental Surgery

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

📍
Updated Practice Location July 08, 2007

Registered at 115 S GROVE AVE, STE 204, ELGIN, IL 601206430 (Tel: 8476081122)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2124 SCHUMACHER DR, NAPERVILLE, IL 605400966

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SUSAN EDUKUTHARAYIL, D.D.S.

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

Dentist

🟢
Initial NPI Registration & Enumeration November 14, 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: 1790857886
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

2124 Schumacher Dr

Naperville, IL 605400966

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.