Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1336039643 Individual Practitioner Female Practitioner

Dr. Sarah Song-Ann Ko , DMD

Dentist • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Dr. Sarah Ko, DMD is a certified Dentist practicing in Peoria, IL. With approximately 1 years of clinical experience since completing medical education in 2025, Dr. Ko delivers high-quality medical care to the local community at 530 NE GLEN OAK AVE.

Dr. Ko does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

530 Ne Glen Oak Ave

Peoria, IL 616370001

Telephone 3096552000
Associated Practice Facility / Clinic
🏢 University Of Illinois Facility NPI 1255301909

Medicare Profile & Education

Medical School

Other

Graduation Year

2025

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Peoria, IL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
1 Yrs -0.5 yrs vs City Avg
City Avg: 1.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
65 Specialists

Practicing in Peoria, 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

Clinical Seniority & Experience Comparison

Dr. Ko (1 Years) 1 Yrs
Peoria Specialty Average (1.5 Years) 1.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-06-28
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019.036244

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

40 Associated Practitioners
Dr. Deepak Nair , MD

Psychiatry & Neurology - Neurology

NPI 1003019209

Doctor of Medicine (M.D.)

NPI 1003556580

Doctor of Medicine (M.D.)

Dr. Thomas Blackwell , MD

Student in an Organized Health Care Education/Training Program

NPI 1003666421

Doctor of Medicine (M.D.)

Jacob Clark

Physician Assistant - Medical

NPI 1013614304
NPI 1013647965

Doctor of Osteopathic Medicine (D.O.)

Mark Morris , NP

Nurse Practitioner - Acute Care

NPI 1023237476

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2025

Registered at 530 NE GLEN OAK AVE, PEORIA, IL 616370001 (Tel: 3096552000)

📍
Updated Business Mailing Address July 08, 2025

Registered at 625 ARLINGTON AVE, NAPERVILLE, IL 605656301 (Tel: 6308000878)

👤
Provider Name / Credentials Updated July 08, 2025

Recorded as SARAH KO, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2025

Dentist (License #019.036244 in IL)

🟢
Initial NPI Registration & Enumeration July 08, 2025

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: 1336039643
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 08, 2025
Last Update: July 08, 2025
Sole Proprietor: No

Mailing Address

625 Arlington Ave

Naperville, IL 605656301

Phone: 6308000878

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.