Active NPI 1497374425 Individual Practitioner Female Practitioner

Dr. Sunitha Ann Samuel , DDS

Dentist - General Practice • Machesney Park, IL

Professional Overview & Biography Verified Profile Summary

Dr. Sunitha Samuel, DDS is a registered healthcare professional specializing in Dentist - General Practice in Machesney Park, IL. Practice services are available at 1411 W LANE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1411 W Lane Rd

Machesney Park, IL 611151661

Telephone 7794231171

Fax 7794231176

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Machesney Park, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 18.0 Yrs

Regional Practice Density

8 Specialists

Practicing in Machesney Park, 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: 2021-09-09

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019.032996

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.

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location September 09, 2021

Registered at 1411 W LANE RD, MACHESNEY PARK, IL 611151661 (Tel: 7794231171)

📍

Updated Business Mailing Address September 09, 2021

Registered at 503 SIMONE DR, DES PLAINES, IL 600161049 (Tel: 5165030402)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2021

Dentist (License #019.032996 in IL)

✅

NPI Profile Active April 09, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location April 09, 2020

Registered at 2201 HEMPSTEAD TPKE, EAST MEADOW, NY 115541859 (Tel: 5165728774)

📍

Updated Business Mailing Address April 09, 2020

Registered at 2201 HEMPSTEAD TPKE, EAST MEADOW, NY 115541859

👤

Provider Name / Credentials Updated April 09, 2020

Recorded as SUNITHA SAMUEL, DDS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2020

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration April 09, 2020

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: 1497374425

Entity Type:

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

Enumeration Date: April 09, 2020

Last Update: September 09, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

503 Simone Dr

Des Plaines, IL 600161049

Phone: 5165030402

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.