Active NPI 1043435175 Individual Practitioner Female Practitioner

Dr. Julia R Pesavento , DMD

Dentist - General Practice • Rockford, IL

Professional Overview & Biography Verified Profile Summary

Dr. Julia Pesavento, DMD is a registered healthcare professional specializing in Dentist - General Practice in Rockford, IL. Practice services are available at 1075 FEATHERSTONE RD STE 30 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1075 Featherstone Rd Ste 30

Rockford, IL 611075906

Telephone 8153951711

Fax 8153951705

Associated Practice Facility / Clinic

🏢 Julia R. Pesavento, D.m.d. Facility NPI 1083868806

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Rockford, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 18.0 Yrs

Regional Practice Density

97 Specialists

Practicing in Rockford, 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 019-019656

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Social Securtiy Number

$$$$$$$$$ (IL)

Commercial Insurance / Payer ID License Number

019-019656 (IL)

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Katherine Stewart , DDS

Dentist - General Practice

NPI 1104948918

Doctor of Dental Surgery

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) May 28, 2020

Dentist (License #019-019656 in IL)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 1075 FEATHERSTONE RD STE 30, ROCKFORD, IL 611075906 (Tel: 8153951711)

📍

Updated Business Mailing Address July 08, 2007

Registered at 1075 FEATHERSTONE ROAD, SUITE 30, ROCKFORD, IL 61072 (Tel: 8153951711)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as JULIA PESAVENTO, D.M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist

🟢

Initial NPI Registration & Enumeration April 16, 2007

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: 1043435175

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 16, 2007

Last Update: May 28, 2020

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1075 Featherstone Road, Suite 30

Rockford, IL 61072

Phone: 8153951711

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.