Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1427217918 Individual Practitioner Male Practitioner

Dr. David Dwight Domenella , DDS

Dentist • Richmond, IL

Professional Overview & Biography Verified Profile Summary

Dr. David Domenella, DDS is a registered healthcare professional specializing in Dentist in Richmond, IL. Practice services are available at 9716 US HIGHWAY 12 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9716 Us Highway 12

Richmond, IL 600719253

Telephone 8156782800
Fax 8156784807
Associated Practice Facility / Clinic
🏢 Making Connections Facility NPI 1376746750

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Richmond, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
2 Specialists

Practicing in Richmond, 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

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019.019680

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

1 Associated Practitioners
Larissa Didriksen , LCSW

Social Worker - Clinical

NPI 1790243756

Licensed Clinical Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 11, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location October 11, 2012

Registered at 9716 US HIGHWAY 12, RICHMOND, IL 600719253 (Tel: 8156782800)

📍
Updated Business Mailing Address October 11, 2012

Registered at 9716 US HIGHWAY 12, RICHMOND, IL 600719253 (Tel: 8156782800)

👤
Provider Name / Credentials Updated October 11, 2012

Recorded as DAVID DOMENELLA, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 11, 2012

Dentist (License #019.019680 in IL)

🟢
Initial NPI Registration & Enumeration June 09, 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: 1427217918
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2008
Last Update: October 11, 2012
Sole Proprietor: Yes

Mailing Address

9716 Us Highway 12

Richmond, IL 600719253

Phone: 8156782800

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.