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Active NPI 1720252224 Individual Practitioner Male Practitioner

Dr. Charles J Tannenbaum , DDS

Dentist • Mchenry, IL

Professional Overview & Biography Verified Profile Summary

Dr. Charles Tannenbaum, DDS is a registered healthcare professional specializing in Dentist in Mchenry, IL. Practice services are available at 5404 W ELM ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5404 W Elm St
Ste F

Mchenry, IL 600504052

Telephone 8157590871
Fax 8157590875
Associated Practice Facility / Clinic
🏢 Procare Dental Group, P.c. Facility NPI 1245304450

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Mchenry, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
15 Specialists

Practicing in Mchenry, 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019-015317

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Jeanne Browning , MS, APN, CHTP

Registered Nurse - Ambulatory Care

NPI 1497860951

Master of Science, Advanced Practice Nurse, CHTP

Jaimie Senese

Counselor

NPI 1598321622
Dr. Andrea Clem , DO

Family Medicine

NPI 1770541369

Doctor of Osteopathic Medicine (D.O.)

Jaclyn Renee Kane , MSN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1992672448

Master of Science in Nursing, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 01, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 01, 2012

Registered at 5404 W ELM ST, STE F, MCHENRY, IL 600504052 (Tel: 8157590871)

📍
Updated Business Mailing Address January 01, 2012

Registered at 5404 W ELM ST, STE F, MCHENRY, IL 600504052 (Tel: 8157590871)

👤
Provider Name / Credentials Updated January 01, 2012

Recorded as CHARLES TANNENBAUM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 01, 2012

Dentist (License #019-015317 in IL)

🟢
Initial NPI Registration & Enumeration April 15, 2008

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: 1720252224
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2008
Last Update: January 01, 2012
Sole Proprietor: Yes

Mailing Address

5404 W Elm St, Ste F

Mchenry, IL 600504052

Phone: 8157590871

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.