Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912524596 Individual Practitioner Female Practitioner

Dr. Roxanne Winebaugh , DMD

Dentist • O Fallon, IL

Professional Overview & Biography Verified Profile Summary

Dr. Roxanne Winebaugh, DMD is a registered healthcare professional specializing in Dentist in O Fallon, IL. Practice services are available at 309 TAMARACK LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

309 Tamarack Ln

O Fallon, IL 622692993

Telephone 6186247200

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in O Fallon, IL

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

Practicing in O Fallon, 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

CMS Verified: 2025-03-10
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019032747

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License MO 2020018228

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

3 Associated Practitioners
Dr. Shawna Perry , DMD

Dentist - General Practice

NPI 1184233934

Doctor of Dental Medicine

Dr. Samantha Scoma , DMD

Student in an Organized Health Care Education/Training Program

NPI 1386570307

Doctor of Dental Medicine

NPI 1730015975

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 March 10, 2025

Registered at 309 TAMARACK LN, O FALLON, IL 622692993 (Tel: 6186247200)

📍
Updated Business Mailing Address March 10, 2025

Registered at 309 TAMARACK LN, O FALLON, IL 622692993 (Tel: 6186247200)

👤
Provider Name / Credentials Updated March 10, 2025

Recorded as ROXANNE WINEBAUGH, DMD

NPI Profile Active June 30, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 30, 2020

Registered at 2941 HIGHWAY K, O FALLON, MO 633687862 (Tel: 6362727009)

📍
Updated Business Mailing Address June 30, 2020

Registered at 2941 HIGHWAY K, O FALLON, MO 633687862 (Tel: 6362727009)

👤
Provider Name / Credentials Updated June 30, 2020

Recorded as ROXANNE DUDOVITZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2020

Dentist (License #2020018228 in MO)

🟢
Initial NPI Registration & Enumeration June 30, 2020

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: 1912524596
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2020
Last Update: March 10, 2025
Sole Proprietor: No

Mailing Address

309 Tamarack Ln

O Fallon, IL 622692993

Phone: 6186247200

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.