Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962621763 Individual Practitioner Male Practitioner

Dr. Kenneth L Eichholz , DDS

Dentist - General Practice • Freeport, IL

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Eichholz, DDS is a registered healthcare professional specializing in Dentist - General Practice in Freeport, IL. Practice services are available at 624 TERRA WEST DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

624 Terra West Dr
Suite #1

Freeport, IL 610324595

Telephone 8152357165
Fax 8152354870

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Freeport, IL

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

Practicing in Freeport, 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

State License IL 019026983

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. Charles Jones , DDS

Dentist - General Practice

NPI 1497767214

Doctor of Dental Surgery

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active January 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 30, 2017

Registered at 624 TERRA WEST DR, SUITE #1, FREEPORT, IL 610324595 (Tel: 8152357165)

📍
Updated Business Mailing Address January 30, 2017

Registered at 624 TERRA WEST DR, SUITE #1, FREEPORT, IL 610324595 (Tel: 8152357165)

👤
Provider Name / Credentials Updated January 30, 2017

Recorded as KENNETH EICHHOLZ, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2017

Dentist (License #019026983 in IL)

NPI Profile Active August 24, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 24, 2015

Registered at 1120 S PARK BLVD, FREEPORT, IL 610324619 (Tel: 8152357165)

📍
Updated Business Mailing Address August 24, 2015

Registered at 1120 S PARK BLVD, FREEPORT, IL 610324619 (Tel: 8152357165)

👤
Provider Name / Credentials Updated August 24, 2015

Recorded as KENNETH EICHHOLZ, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2015

Dentist (License #019026983 in IL)

🟢
Initial NPI Registration & Enumeration April 24, 2007

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: 1962621763
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2007
Last Update: January 30, 2017
Sole Proprietor: No

Mailing Address

624 Terra West Dr, Suite #1

Freeport, IL 610324595

Phone: 8152357165

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.