Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396631297 Individual Practitioner Female Practitioner

Dr. Ellyse Henkle , DMD

Dentist - General Practice • Macomb, IL

Professional Overview & Biography Verified Profile Summary

Dr. Ellyse Henkle, DMD is a registered healthcare professional specializing in Dentist - General Practice in Macomb, IL. Practice services are available at 1200 W JACKSON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1200 W Jackson St

Macomb, IL 614551194

Telephone 3098366688
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Macomb, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
7 Specialists

Practicing in Macomb, 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: 2025-06-16
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019.036154

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
NPI 1720974686

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 16, 2025

NPI status registered as active in NPPES database

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Updated Practice Location June 16, 2025

Registered at 1200 W JACKSON ST, MACOMB, IL 614551194 (Tel: 3098366688)

📍
Updated Business Mailing Address June 16, 2025

Registered at 536 MEADOW DR, MACOMB, IL 614559320 (Tel: 7089375801)

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Provider Name / Credentials Updated June 16, 2025

Recorded as ELLYSE HENKLE, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2025

Dentist (License #019.036154 in IL)

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Initial NPI Registration & Enumeration June 16, 2025

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: 1396631297
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2025
Last Update: June 16, 2025
Sole Proprietor: Yes

Mailing Address

536 Meadow Dr

Macomb, IL 614559320

Phone: 7089375801

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.