Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013696673 Individual Practitioner Female Practitioner

Dr. Emma Fuller , DMD

Dentist - General Practice • Hickory Hills, IL

Professional Overview & Biography Verified Profile Summary

Dr. Emma Fuller, DMD is a registered healthcare professional specializing in Dentist - General Practice in Hickory Hills, IL. Practice services are available at 9055 S ROBERTS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9055 S Roberts Rd

Hickory Hills, IL 604573812

Telephone 7095984055

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Hickory Hills, IL

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

Practicing in Hickory Hills, 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: 2024-08-05
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019034322

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
NPI 1083956619

Doctor of Dental Surgery

Dr. Niki Demakakos-Kasper , DDS

Dentist - General Practice

NPI 1518082247

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
👤
Provider Name / Credentials Updated August 05, 2024

Recorded as EMMA FULLER, DMD

NPI Profile Active July 12, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location July 12, 2023

Registered at 9055 S ROBERTS RD, HICKORY HILLS, IL 604573812 (Tel: 7095984055)

📍
Updated Business Mailing Address July 12, 2023

Registered at 9055 S ROBERTS RD, HICKORY HILLS, IL 604573812 (Tel: 7085984055)

👤
Provider Name / Credentials Updated July 12, 2023

Recorded as ARMINA JANCEVICIUTE, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2023

Dentist (License #019034322 in IL)

🟢
Initial NPI Registration & Enumeration July 12, 2023

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: 1013696673
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2023
Last Update: August 05, 2024
Sole Proprietor: No

Mailing Address

9055 S Roberts Rd

Hickory Hills, IL 604573812

Phone: 7085984055

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.