Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780235655 Individual Practitioner Male Practitioner

Dr. Walter Kelley Farris , DMD

Dentist - General Practice • Oak Park, IL

Professional Overview & Biography Verified Profile Summary

Dr. Walter Farris, DMD is a registered healthcare professional specializing in Dentist - General Practice in Oak Park, IL. Practice services are available at 1515 N HARLEM AVE STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1515 N Harlem Ave Ste 200

Oak Park, IL 603021277

Telephone 7088482853
Associated Practice Facility / Clinic
🏢 Exquisite Smiles Dental Pllc Facility NPI 1033707062

Specialty Benchmarks & Practice Insights

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

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.0 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
54 Specialists

Practicing in Oak Park, 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 019.032072

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.

Secondary Practice Locations

301 E Calhoun St

Woodstock, IL 600984290

Phone: 8153387774

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1306951405

Doctor of Dental Surgery

NPI 1851401962

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 September 23, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location September 23, 2019

Registered at 1515 N HARLEM AVE STE 200, OAK PARK, IL 603021277 (Tel: 7088482853)

📍
Updated Business Mailing Address September 23, 2019

Registered at 401 E ONTARIO ST APT 2506, CHICAGO, IL 606114417 (Tel: 8158611308)

👤
Provider Name / Credentials Updated September 23, 2019

Recorded as WALTER FARRIS, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2019

Dentist (License #019.032072 in IL)

🟢
Initial NPI Registration & Enumeration September 23, 2019

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: 1780235655
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 23, 2019
Last Update: September 23, 2019
Sole Proprietor: Yes

Mailing Address

401 E Ontario St Apt 2506

Chicago, IL 606114417

Phone: 8158611308

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.