Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1952455107 Individual Practitioner Male Practitioner

Dr. John M Formeller , DDS

Dentist • Northbrook, IL

Professional Overview & Biography Verified Profile Summary

Dr. John Formeller, DDS is a registered healthcare professional specializing in Dentist in Northbrook, IL. Practice services are available at 1220 MEADOW RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1220 Meadow Rd
Suite 204

Northbrook, IL 600623698

Telephone 8472729666
Associated Practice Facility / Clinic
🏢 American Family Dental Org. Facility NPI 1336292184

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Northbrook, IL

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

Practicing in Northbrook, 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 019021481

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

8 Associated Practitioners
NPI 1093863656

Doctor of Dental Surgery

Dr. Darryl Skale , DDS

Dentist - General Practice

NPI 1215137609

Doctor of Dental Surgery

Dr. Marita Janzen , DDS MS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1255414264

DDSMS

NPI 1396893053

Doctor of Dental Surgery

NPI 1457562217

Doctor of Dental Surgery

Dr. Lisette Lumsden , DDS

Dentist - General Practice

NPI 1487803979

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 06, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location December 06, 2016

Registered at 1220 MEADOW RD, SUITE 204, NORTHBROOK, IL 600623698 (Tel: 8472729666)

📍
Updated Business Mailing Address December 06, 2016

Registered at 1220 MEADOW RD, SUITE 204, NORTHBROOK, IL 600623698 (Tel: 8472729666)

👤
Provider Name / Credentials Updated December 06, 2016

Recorded as JOHN FORMELLER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2016

Dentist (License #019021481 in IL)

🟢
Initial NPI Registration & Enumeration January 23, 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: 1952455107
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2007
Last Update: December 06, 2016
Sole Proprietor: Yes

Mailing Address

1220 Meadow Rd, Suite 204

Northbrook, IL 600623698

Phone: 8472729666

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.