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Active NPI 1629130620 Individual Practitioner Male Practitioner

Dr. Phillip Cannizzaro , DDS

Dentist - General Practice • North Riverside, IL

Professional Overview & Biography Verified Profile Summary

Dr. Phillip Cannizzaro, DDS is a registered healthcare professional specializing in Dentist - General Practice in North Riverside, IL. Practice services are available at 3006 DESPLAINES AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3006 Desplaines Ave

North Riverside, IL 605461861

Telephone 7084478385
Fax 7084478400

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in North Riverside, IL

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

Practicing in North Riverside, 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 19A13321

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.

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 3006 DESPLAINES AVE, NORTH RIVERSIDE, IL 605461861 (Tel: 7084478385)

📍
Updated Business Mailing Address July 08, 2007

Registered at 3006 S. DESPLAINES AVE., NORTH RIVERSIDE, IL 60546 (Tel: 7084478385)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PHILLIP CANNIZZARO, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #19A13321 in IL)

🟢
Initial NPI Registration & Enumeration December 15, 2006

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: 1629130620
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 15, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

3006 S. Desplaines Ave.

North Riverside, IL 60546

Phone: 7084478385

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.