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Active NPI 1528769882 Individual Practitioner Male Practitioner

Dr. Cameron Blake Stevens , DDS

Dentist - General Practice • Montgomery, IL

Professional Overview & Biography Verified Profile Summary

Dr. Cameron Stevens, DDS is a registered healthcare professional specializing in Dentist - General Practice in Montgomery, IL. Practice services are available at 20 BOULDER HILL PASS under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

20 Boulder Hill Pass

Montgomery, IL 605381951

Telephone 6308965013
Associated Practice Facility / Clinic
🏢 Mark R Commean Dmd Ltd Facility NPI 1417046905

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Montgomery, IL

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

Practicing in Montgomery, 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: 2025-03-29
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019.035417

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

5 Associated Practitioners
Amrit Banipal

Dentist - General Practice

NPI 1366051237
NPI 1508484619

Doctor of Dental Medicine

NPI 1619066115
NPI 1750508339

Doctor of Dental Surgery

NPI 1891872958

Doctor of Dental Medicine

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location March 29, 2025

Registered at 20 BOULDER HILL PASS, MONTGOMERY, IL 605381951 (Tel: 6308965013)

📍
Updated Business Mailing Address March 29, 2025

Registered at 20 BOULDER HILL PASS, MONTGOMERY, IL 605381951 (Tel: 6308965013)

📍
Updated Practice Location July 30, 2024

Registered at 4015 PLAINFIELD NAPERVILLE RD STE 106, NAPERVILLE, IL 605644239 (Tel: 6303003610)

👤
Provider Name / Credentials Updated July 30, 2024

Recorded as CAMERON STEVENS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2024

Dentist (License #019.035417 in IL)

NPI Profile Active March 14, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location March 14, 2023

Registered at 3302 GASTON AVE, DALLAS, TX 752462013 (Tel: 2148288100)

📍
Updated Business Mailing Address March 14, 2023

Registered at 3302 GASTON AVE, DALLAS, TX 752462013

👤
Provider Name / Credentials Updated March 14, 2023

Recorded as CAMERON STEVENS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 14, 2023

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: 1528769882
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2023
Last Update: March 29, 2025
Sole Proprietor: No

Mailing Address

20 Boulder Hill Pass

Montgomery, IL 605381951

Phone: 6308965013

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.