Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1508357500 Individual Practitioner Male Practitioner

Dr. Saad Latif Soofi , DDS

Dentist - General Practice • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Dr. Saad Soofi, DDS is a registered healthcare professional specializing in Dentist - General Practice in Peoria, IL. Practice services are available at 3127 N UNIVERSITY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3127 N University St

Peoria, IL 616041316

Telephone 3096818888
Associated Practice Facility / Clinic
🏢 Secure Dental Llc Facility NPI 1154607422

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Peoria, IL

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

Practicing in Peoria, 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: 2023-09-19
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IN 12013431A

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 1538447321

Doctor of Dental Surgery

Noel Liu

Dentist

NPI 1902006000

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2023

Dentist (License #12013431A in IN)

NPI Profile Active May 24, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 24, 2018

Registered at 3127 N UNIVERSITY ST, PEORIA, IL 616041316 (Tel: 3096818888)

📍
Updated Business Mailing Address May 24, 2018

Registered at 3127 N UNIVERSITY ST, PEORIA, IL 616041316 (Tel: 3096818888)

👤
Provider Name / Credentials Updated May 24, 2018

Recorded as SAAD SOOFI, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2018

Dentist (License #019031576 in IL)

🟢
Initial NPI Registration & Enumeration May 24, 2018

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: 1508357500
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2018
Last Update: September 19, 2023
Sole Proprietor: No

Mailing Address

3127 N University St

Peoria, IL 616041316

Phone: 3096818888

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.