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Active NPI 1972918308 Individual Practitioner Male Practitioner

Shobhit Bansal

Dentist - General Practice • Huntley, IL

Professional Overview & Biography Verified Profile Summary

Shobhit Bansal is a registered healthcare professional specializing in Dentist - General Practice in Huntley, IL. Practice services are available at 9920 N ROUTE 47 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9920 N Route 47

Huntley, IL 60142

Telephone 6467033924
Associated Practice Facility / Clinic
🏢 Shina 007 Inc Facility NPI 1740809417

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Huntley, IL

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

Practicing in Huntley, 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: 2024-11-27
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 19030435

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License IL 019030435

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.

Secondary Practice Locations

1576 W Lane Rd

Machesney Park, IL 611151903

Phone: 8152197576

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Business Mailing Address December 02, 2024

Registered at 9920 N IL 47, HUNTLEY, IL 601426072 (Tel: 8478020427)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2024

Dentist (License #019030435 in IL)

📍
Updated Practice Location October 25, 2022

Registered at 9920 N ROUTE 47, HUNTLEY, IL 60142 (Tel: 6467033924)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2022

Dentist (License #1001717-15 in WI)

📍
Updated Practice Location April 10, 2020

Registered at 2777 MILWAUKEE RD UNIT B, BELOIT, WI 535113976 (Tel: 6083122945)

📍
Updated Business Mailing Address April 10, 2020

Registered at 12471 GLAZIER ST, HUNTLEY, IL 601426072 (Tel: 6467033924)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2020

Dentist (License #19030435 in IL)

NPI Profile Active June 24, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2014

Registered at 1548 WILDCAT DR, PORTLAND, TX 783742814 (Tel: 3617770700)

📍
Updated Business Mailing Address June 24, 2014

Registered at 1548 WILDCAT DR, PORTLAND, TX 783742814 (Tel: 6467033924)

👤
Provider Name / Credentials Updated June 24, 2014

Recorded as SHOBHIT BANSAL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2014

Dentist (License #0030169 in TX)

🟢
Initial NPI Registration & Enumeration June 24, 2014

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: 1972918308
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2014
Last Update: December 02, 2024
Sole Proprietor: Yes

Mailing Address

9920 N Il 47

Huntley, IL 601426072

Phone: 8478020427

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.