Active NPI 1265415244 Individual Practitioner Male Practitioner

Dr. Anshuman Soni , DDS

Dentist - General Practice • Libertyville, IL

Professional Overview & Biography Verified Profile Summary

Dr. Anshuman Soni, DDS is a registered healthcare professional specializing in Dentist - General Practice in Libertyville, IL. Practice services are available at 1418 S MILWAUKEE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1418 S Milwaukee Ave
Suite # 4

Libertyville, IL 60048

Telephone 8479842548

Fax 8479842957

Associated Practice Facility / Clinic

🏢 Great Lakes Dental P.c. Facility NPI 1447657234

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Libertyville, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 18.0 Yrs

Regional Practice Density

32 Specialists

Practicing in Libertyville, 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 019026289

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License

019026289 (IL)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 06, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location October 06, 2015

Registered at 1418 S MILWAUKEE AVE, SUITE # 4, LIBERTYVILLE, IL 60048 (Tel: 8479842548)

📍

Updated Business Mailing Address October 06, 2015

Registered at 1418 S MILWAUKEE AVE, SUITE # 4, LIBERTYVILLE, IL 60048 (Tel: 8479842548)

👤

Provider Name / Credentials Updated October 06, 2015

Recorded as ANSHUMAN SONI, DDS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2015

Dentist (License #019026289 in IL)

🟢

Initial NPI Registration & Enumeration November 23, 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: 1265415244

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 23, 2005

Last Update: October 06, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1418 S Milwaukee Ave, Suite # 4

Libertyville, IL 60048

Phone: 8479842548

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.