Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073005708 Individual Practitioner Male Practitioner

Dr. Andrew Haddock , DDS

Dentist - General Practice • Morton, IL

Professional Overview & Biography Verified Profile Summary

Dr. Andrew Haddock, DDS is a registered healthcare professional specializing in Dentist - General Practice in Morton, IL. Practice services are available at 636 W JEFFERSON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

636 W Jefferson St

Morton, IL 61550

Telephone 3092638317
Associated Practice Facility / Clinic
🏢 Andris Family Dental, Llc Facility NPI 1225493034

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Morton, IL

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

Practicing in Morton, 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: 2023-02-20
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019034015

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

NUCC Taxonomy Code: 122300000X

State License WI 1001807-15

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

2 Associated Practitioners
NPI 1417054420

Doctor of Dental Surgery

NPI 1669808903

Doctor of Dental Medicine

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location February 20, 2023

Registered at 636 W JEFFERSON ST, MORTON, IL 61550 (Tel: 3092638317)

📍
Updated Business Mailing Address February 20, 2023

Registered at 636 W JEFFERSON ST, MORTON, IL 61550 (Tel: 3092638317)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2023

Dentist (License #019034015 in IL)

NPI Profile Active May 30, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 30, 2018

Registered at 207 S UNIVERSITY AVE, BEAVER DAM, WI 539162450 (Tel: 9203565012)

📍
Updated Business Mailing Address May 30, 2018

Registered at PO BOX 1440, WAUTOMA, WI 549821440 (Tel: 9207875514)

👤
Provider Name / Credentials Updated May 30, 2018

Recorded as ANDREW HADDOCK, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2018

Dentist (License #1001807-15 in WI)

🟢
Initial NPI Registration & Enumeration May 30, 2018

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: 1073005708
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2018
Last Update: February 20, 2023
Sole Proprietor: No

Mailing Address

636 W Jefferson St

Morton, IL 61550

Phone: 3092638317

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.