Active NPI 1164782066 Individual Practitioner Male Practitioner

Dr. Paul David Doodes , DDS, PhD

Dentist - General Practice • Glen Ellyn, IL

Professional Overview & Biography Verified Profile Summary

Dr. Paul Doodes, DDS, PhD is a registered healthcare professional specializing in Dentist - General Practice in Glen Ellyn, IL. Practice services are available at 45 S PARK BLVD STE 190 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

45 S Park Blvd Ste 190

Glen Ellyn, IL 601376282

Telephone 6304690800

Fax 6304740597

Associated Practice Facility / Clinic

🏢 Paul Doodes Dds Phd Pc Facility NPI 1285232827

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Glen Ellyn, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 18.0 Yrs

Regional Practice Density

29 Specialists

Practicing in Glen Ellyn, 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: 2020-10-15

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019028983

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.

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location September 13, 2021

Registered at 45 S PARK BLVD STE 190, GLEN ELLYN, IL 601376282 (Tel: 6304690800)

📍

Updated Business Mailing Address September 13, 2021

Registered at 45 S PARK BLVD STE 190, GLEN ELLYN, IL 601376282 (Tel: 6304690800)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 13, 2021

Dentist (License #019028983 in IL)

✅

NPI Profile Active September 08, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 08, 2016

Registered at 183 S BLOOMINGDALE RD, SUITE 200, BLOOMINGDALE, IL 601081466 (Tel: 6305292522)

📍

Updated Business Mailing Address September 08, 2016

Registered at 183 SOUTH BLOOMINGDALE ROAD, SUITE 200, BLOOMINGDALE, IL 601081400 (Tel: 6305292522)

👤

Provider Name / Credentials Updated September 08, 2016

Recorded as PAUL DOODES, D.D.S., PH.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2016

Student in an Organized Health Care Education/Training Program

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Initial NPI Registration & Enumeration May 24, 2012

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: 1164782066

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 24, 2012

Last Update: September 13, 2021

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

45 S Park Blvd Ste 190

Glen Ellyn, IL 601376282

Phone: 6304690800

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.