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Active NPI 1346364411 Individual Practitioner Male Practitioner

Dr. Leszek Adam Balla , DDS

Dentist • Maywood, IL

Professional Overview & Biography Verified Profile Summary

Dr. Leszek Balla, DDS is a registered healthcare professional specializing in Dentist in Maywood, IL. Practice services are available at 1701 S 1ST AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1701 S 1st Ave
Suite 102

Maywood, IL 601532442

Telephone 7084505300
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Maywood, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
21 Specialists

Practicing in Maywood, IL (4751 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: 2021-04-21
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019-017066

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License IL 019-017066

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 WI 2604-015

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

3 Associated Practitioners
Jillian Savino , PT

Physical Therapist

NPI 1174722284

Physical Therapist

NPI 1427940303

Doctor of Philosophy (Ph.D.)

Dr. Allison Radice , PhD

Counselor - Mental Health

NPI 1730985532

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2021

Dentist (License #019-017066 in IL)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2020

Dentist (License #019-017066 in IL)

NPI Profile Active August 27, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location August 27, 2007

Registered at 1701 S 1ST AVE, SUITE 102, MAYWOOD, IL 601532442 (Tel: 7084505300)

📍
Updated Business Mailing Address August 27, 2007

Registered at 3638 CRAIN ST, SKOKIE, IL 600762352 (Tel: 8473290972)

👤
Provider Name / Credentials Updated August 27, 2007

Recorded as LESZEK BALLA, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 27, 2007

Dentist (License #2604-015 in WI)

🟢
Initial NPI Registration & Enumeration March 16, 2007

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: 1346364411
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2007
Last Update: April 21, 2021
Sole Proprietor: No

Mailing Address

3638 Crain St

Skokie, IL 600762352

Phone: 8473290972

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.