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Active NPI 1376594754 Individual Practitioner Male Practitioner

Dr. Raffi K Leblebijian , DDS

Dentist - General Practice • Kankakee, IL

Professional Overview & Biography Verified Profile Summary

Dr. Raffi Leblebijian, DDS is a registered healthcare professional specializing in Dentist - General Practice in Kankakee, IL. Practice services are available at 401 N WALL ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

401 N Wall St
Suite 203

Kankakee, IL 609012934

Telephone 8159334121
Fax 8159336744
Associated Practice Facility / Clinic
🏢 J. Michael Krisko Dds, Ltd. Facility NPI 1841298817

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Kankakee, IL

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

Practicing in Kankakee, 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 19A20125

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. Syreeta Jones , DDS

Dentist - General Practice

NPI 1184638249

Doctor of Dental Surgery

Dr. Pathik Patel , DMD

Student in an Organized Health Care Education/Training Program

NPI 1942133137

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 August 31, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location August 31, 2011

Registered at 401 N WALL ST, SUITE 203, KANKAKEE, IL 609012934 (Tel: 8159334121)

📍
Updated Business Mailing Address August 31, 2011

Registered at 401 N WALL ST, SUITE 203, KANKAKEE, IL 609012934 (Tel: 8159334121)

👤
Provider Name / Credentials Updated August 31, 2011

Recorded as RAFFI LEBLEBIJIAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 31, 2011

Dentist (License #19A20125 in IL)

🟢
Initial NPI Registration & Enumeration May 12, 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: 1376594754
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 12, 2006
Last Update: August 31, 2011
Sole Proprietor: Yes

Mailing Address

401 N Wall St, Suite 203

Kankakee, IL 609012934

Phone: 8159334121

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.