Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174848576 Individual Practitioner Male Practitioner

Dr. Brent Danielson , DDS

Dentist - General Practice • La Grange, IL

Professional Overview & Biography Verified Profile Summary

Dr. Brent Danielson, DDS is a registered healthcare professional specializing in Dentist - General Practice in La Grange, IL. Practice services are available at 1400 W 47TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1400 W 47th St

La Grange, IL 605256141

Telephone 7084824420
Associated Practice Facility / Clinic
🏢 Nancy Donna Cozzi, D.d.s. Facility NPI 1487926101

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in La Grange, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
12 Specialists

Practicing in La Grange, 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 019-015421

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. Jazmin Serna , DMD

Dentist - General Practice

NPI 1316832975

Doctor of Dental Medicine

NPI 1649612839

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 March 29, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location March 29, 2010

Registered at 1400 W 47TH ST, LA GRANGE, IL 605256141 (Tel: 7084824420)

📍
Updated Business Mailing Address March 29, 2010

Registered at 1400 W 47TH ST, LA GRANGE, IL 605256141 (Tel: 7084824420)

👤
Provider Name / Credentials Updated March 29, 2010

Recorded as BRENT DANIELSON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2010

Dentist (License #019-015421 in IL)

🟢
Initial NPI Registration & Enumeration March 29, 2010

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: 1174848576
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2010
Last Update: March 29, 2010
Sole Proprietor: Yes

Mailing Address

1400 W 47th St

La Grange, IL 605256141

Phone: 7084824420

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.