Active NPI 1295200798 Individual Practitioner Male Practitioner

Dr. Mohit Satish Jethani , DMD

Dentist - General Practice • Lincoln, IL

Professional Overview & Biography Verified Profile Summary

Dr. Mohit Jethani, DMD is a registered healthcare professional specializing in Dentist - General Practice in Lincoln, IL. Practice services are available at 411 KEOKUK ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

411 Keokuk St

Lincoln, IL 626561726

Telephone 2177328818

Associated Practice Facility / Clinic

🏢 Lifetime Dental Care Of Illinois, Pc Facility NPI 1720290638

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lincoln, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 18.0 Yrs

Regional Practice Density

6 Specialists

Practicing in Lincoln, 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: 2023-01-14

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019033792

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

1 Associated Practitioners

Dr. Rachit Shah , DMD

Dentist - General Practice

NPI 1235513458

Doctor of Dental Medicine

Career & Practice History Timeline

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

14 Historical Events

📍

Updated Practice Location January 14, 2023

Registered at 411 KEOKUK ST, LINCOLN, IL 626561726 (Tel: 2177328818)

📍

Updated Business Mailing Address January 14, 2023

Registered at 2802 E LINCOLN ST APT 2A, BLOOMINGTON, IL 617046153 (Tel: 4243259393)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2023

Dentist (License #019033792 in IL)

📍

Updated Practice Location December 06, 2021

Registered at 1 TREMONT ST, CLAREMONT, NH 037432654 (Tel: 4243259393)

📍

Updated Business Mailing Address December 06, 2021

Registered at 1 TREMONT ST, CLAREMONT, NH 037432654 (Tel: 4243259393)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2021

Dentist (License #0401416913 in VA)

📍

Updated Practice Location November 03, 2020

Registered at 12712 JEFFERSON DAVIS HWY STE A, CHESTER, VA 238315369 (Tel: 8047066666)

📍

Updated Business Mailing Address November 03, 2020

Registered at 1604 SPENCE GATE CIR APT 207, VIRGINIA BEACH, VA 234566163 (Tel: 4243259393)

✅

NPI Profile Active October 10, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location October 10, 2018

Registered at 555 STATE ST, SPRINGFIELD, MA 011094101 (Tel: 4137360027)

📍

Updated Business Mailing Address October 10, 2018

Registered at 350 N CLARK ST STE 600, CHICAGO, IL 606544782

👤

Provider Name / Credentials Updated October 10, 2018

Recorded as MOHIT JETHANI, DMD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2018

Dentist (License #DN1858142 in MA)

🟢

Initial NPI Registration & Enumeration October 10, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1295200798

Entity Type:

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

Enumeration Date: October 10, 2018

Last Update: January 14, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2802 E Lincoln St Apt 2a

Bloomington, IL 617046153

Phone: 4243259393

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.