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Active NPI 1821721267 Individual Practitioner Female Practitioner

Dr. Debera Shu-Min Wang , DMD

Dentist - General Practice • Machesney Park, IL

Professional Overview & Biography Verified Profile Summary

Dr. Debera Wang, 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 8157499838

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: 2024-01-09
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019034731

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License WA DE61316013

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.

Secondary Practice Locations

15100 Se 38th St

Bellevue, WA 980061728

Phone: 4253001019

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. Mitul Patel , DMD

Dentist - General Practice

NPI 1801183215

Doctor of Dental Medicine

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location January 29, 2024

Registered at 1564 W LANE RD, MACHESNEY PARK, IL 611151903 (Tel: 8157499838)

📍
Updated Business Mailing Address January 29, 2024

Registered at 2045 KEIM DR, NAPERVILLE, IL 605652861 (Tel: 6306316342)

NPI Profile Active July 04, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location July 04, 2022

Registered at 15100 SE 38TH ST, BELLEVUE, WA 980061728 (Tel: 4253001019)

📍
Updated Business Mailing Address July 04, 2022

Registered at 15301 NE TURING ST APT 936, REDMOND, WA 980526279 (Tel: 6306316342)

👤
Provider Name / Credentials Updated July 04, 2022

Recorded as DEBERA WANG, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 04, 2022

Dentist (License #DE61316013 in WA)

🟢
Initial NPI Registration & Enumeration July 04, 2022

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: 1821721267
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 04, 2022
Last Update: January 29, 2024
Sole Proprietor: No

Mailing Address

2045 Keim Dr

Naperville, IL 605652861

Phone: 6306316342

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.