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Active NPI 1780858936 Individual Practitioner Male Practitioner

Dr. Daniel Edward Ketteman , DDS, PC

Dentist - General Practice • Quincy, IL

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Ketteman, DDS, PC is a registered healthcare professional specializing in Dentist - General Practice in Quincy, IL. Practice services are available at 3915 MAINE ST STE 2 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3915 Maine St Ste 2

Quincy, IL 623055843

Telephone 2172237600
Associated Practice Facility / Clinic
🏢 Severs Orthodontics Llc Facility NPI 1972377174

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Quincy, IL

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

Practicing in Quincy, 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

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

1 Associated Practitioners
Dr. Grant Severs , DMD MS

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1144955790

DMDMS

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active April 18, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location April 18, 2008

Registered at 3915 MAINE ST STE 2, QUINCY, IL 623055843 (Tel: 2172237600)

📍
Updated Business Mailing Address April 18, 2008

Registered at 3915 MAINE ST STE 2, QUINCY, IL 623055843 (Tel: 2172237600)

👤
Provider Name / Credentials Updated April 18, 2008

Recorded as DANIEL KETTEMAN, D.D.S., P.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2008

Dentist

🟢
Initial NPI Registration & Enumeration April 18, 2008

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: 1780858936
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 18, 2008
Last Update: April 18, 2008
Sole Proprietor: No
Update or Correct Profile

Mailing Address

3915 Maine St Ste 2

Quincy, IL 623055843

Phone: 2172237600

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.