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Active NPI 1801183215 Individual Practitioner Male Practitioner

Dr. Mitul V Patel , DMD

Dentist - General Practice • Machesney Park, IL

Professional Overview & Biography Verified Profile Summary

Dr. Mitul Patel, DMD is a registered healthcare professional specializing in Dentist - General Practice in Machesney Park, IL. Practice services are available at 1564 W LANE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1564 W Lane Rd

Machesney Park, IL 611151903

Telephone 8156376309
Associated Practice Facility / Clinic
🏢 Phoenix Pc Facility NPI 1275720971

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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 28728

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. Tommy John Sagadraca , DMD

Dentist - General Practice

NPI 1215387113

Doctor of Dental Medicine

Dr. Debera Wang , DMD

Dentist - General Practice

NPI 1821721267

Doctor of Dental Medicine

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active November 01, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 01, 2017

Registered at 1564 W LANE RD, MACHESNEY PARK, IL 611151903 (Tel: 8156376309)

📍
Updated Business Mailing Address November 01, 2017

Registered at 281 SANDERS CREEK PKWY, EAST SYRACUSE, NY 130571307 (Tel: 3154546000)

👤
Provider Name / Credentials Updated November 01, 2017

Recorded as MITUL PATEL, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 01, 2017

Dentist (License #28728 in IL)

NPI Profile Active July 06, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location July 06, 2011

Registered at 1564 W LANE RD, MACHESNEY PARK, IL 611151903 (Tel: 8156376309)

📍
Updated Business Mailing Address July 06, 2011

Registered at 281 SANDERS CREEK PKWY, EAST SYRACUSE, NY 130571307 (Tel: 3154546000)

👤
Provider Name / Credentials Updated July 06, 2011

Recorded as MITULKUMAR PATEL, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2011

Dentist (License #28728 in IL)

🟢
Initial NPI Registration & Enumeration July 06, 2011

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: 1801183215
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2011
Last Update: November 01, 2017
Sole Proprietor: No

Mailing Address

281 Sanders Creek Pkwy

East Syracuse, NY 130571307

Phone: 3154546000

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.