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Active NPI 1285604009 Individual Practitioner Male Practitioner

Dr. Charles William Paddock , DDS

Dentist - General Practice • Great Lakes, IL

Professional Overview & Biography Verified Profile Summary

Dr. Charles Paddock, DDS is a registered healthcare professional specializing in Dentist - General Practice in Great Lakes, IL. Practice services are available at 3001A SIXTH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3001a Sixth St

Great Lakes, IL 60088

Telephone 8476883331

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Great Lakes, IL

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

Practicing in Great Lakes, 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 CA 36817

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

20 Associated Practitioners
Dr. James Conway , DDS, MSD

Dentist - Periodontics

NPI 1003966904

Doctor of Dental Surgery, MSD

NPI 1043878358

Doctor of Dental Surgery

Dr. Christopher Verzosa , DDS

Dentist - General Practice

NPI 1164654364

Doctor of Dental Surgery

NPI 1174049704

Doctor of Dental Surgery

Michelle Klupp , RDH

Dental Hygienist

NPI 1386414068

Registered Dental Hygienist

NPI 1396996823

Doctor of Dental Medicine

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 3001A SIXTH ST, GREAT LAKES, IL 60088 (Tel: 8476883331)

📍
Updated Business Mailing Address July 08, 2007

Registered at 307 CEDAR RIDGE DR, LAKE VILLA, IL 600466459 (Tel: 8476883331)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CHARLES PADDOCK, D.D.S.

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

Dentist (License #36817 in CA)

🟢
Initial NPI Registration & Enumeration January 24, 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: 1285604009
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 24, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

307 Cedar Ridge Dr

Lake Villa, IL 600466459

Phone: 8476883331

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.