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Active NPI 1861187346 Individual Practitioner Female Practitioner

Dr. Samira Mukkamala , DMD

Dentist - General Practice • Oak Brook, IL

Professional Overview & Biography Verified Profile Summary

Dr. Samira Mukkamala, DMD is a registered healthcare professional specializing in Dentist - General Practice in Oak Brook, IL. Practice services are available at 2119 CLEARWATER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2119 Clearwater Dr

Oak Brook, IL 605238821

Telephone 6309907766
Associated Practice Facility / Clinic
🏢 Oak Brook Dental Group Facility NPI 1164449914

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Oak Brook, IL

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

Practicing in Oak Brook, 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: 2025-09-12
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019035526

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

2 Associated Practitioners
NPI 1215155478

Bachelor of Science in Nursing, Doctor of Dental Surgery

NPI 1528286796

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location September 12, 2025

Registered at 2119 CLEARWATER DR, OAK BROOK, IL 605238821 (Tel: 6309907766)

📍
Updated Business Mailing Address September 12, 2025

Registered at 28294 FERRY RD APT 271, WARRENVILLE, IL 605554065 (Tel: 3342942241)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2025

Dentist (License #019035526 in IL)

NPI Profile Active April 10, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location April 10, 2023

Registered at 1830 COMMERCIAL WAY, SANTA CRUZ, CA 950651819 (Tel: 8314645409)

📍
Updated Business Mailing Address April 10, 2023

Registered at 665 WASHINGTON ST UNIT 1808, BOSTON, MA 021111650 (Tel: 3342942241)

👤
Provider Name / Credentials Updated April 10, 2023

Recorded as SAMIRA MUKKAMALA, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 10, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 10, 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: 1861187346
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2023
Last Update: September 12, 2025
Sole Proprietor: Yes

Mailing Address

28294 Ferry Rd Apt 271

Warrenville, IL 605554065

Phone: 3342942241

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.