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Active NPI 1346239902 Individual Practitioner Female Practitioner

Dr. Shuba Anantha , DDS

Dentist - General Practice • Gurnee, IL

Professional Overview & Biography Verified Profile Summary

Dr. Shuba Anantha, DDS is a registered healthcare professional specializing in Dentist - General Practice in Gurnee, IL. Practice services are available at 5445 GRAND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5445 Grand Ave

Gurnee, IL 600311725

Telephone 8472442775
Fax 8472442777
Associated Practice Facility / Clinic
🏢 Procare Dental Group, P.c. Facility NPI 1124185467

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Gurnee, IL

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

Practicing in Gurnee, 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 019026565

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

2 Associated Practitioners
Dr. Fred Biasiello , DDS

Dentist - General Practice

NPI 1376771345

Doctor of Dental Surgery

Dr. Jeffrey Glassman , DDS

Dentist - General Practice

NPI 1942244322

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 April 28, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location April 28, 2010

Registered at 5445 GRAND AVE, GURNEE, IL 600311725 (Tel: 8472442775)

📍
Updated Business Mailing Address April 28, 2010

Registered at 5445 GRAND AVE, GURNEE, IL 600311725 (Tel: 8472442775)

👤
Provider Name / Credentials Updated April 28, 2010

Recorded as SHUBA ANANTHA, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2010

Dentist (License #019026565 in IL)

🟢
Initial NPI Registration & Enumeration October 17, 2005

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: 1346239902
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2005
Last Update: April 28, 2010
Sole Proprietor: Yes

Mailing Address

5445 Grand Ave

Gurnee, IL 600311725

Phone: 8472442775

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.