Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982617478 Individual Practitioner Female Practitioner

Dr. Sima Sam , DDS

Dentist - General Practice • Rockford, IL

Professional Overview & Biography Verified Profile Summary

Dr. Sima Sam, DDS is a registered healthcare professional specializing in Dentist - General Practice in Rockford, IL. Practice services are available at 1200 W STATE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1200 W State St

Rockford, IL 611022112

Telephone 8154901600
Fax 8154901625
Associated Practice Facility / Clinic

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 019025993

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 License
019025993 (IL)
Commercial Insurance / Payer ID Controlled Substance
319014644 (IL)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Caryn Ruzic , APRN

Nurse Practitioner - Family

NPI 1003572660

Advanced Practice Registered Nurse

Dr. John Wall , MD

Family Medicine

NPI 1003899071

Doctor of Medicine (M.D.)

Dr. Adekola Ashaye , MD

Internal Medicine

NPI 1003899162

Doctor of Medicine (M.D.)

NPI 1013188408

Doctor of Medicine (M.D.)

NPI 1013363290

Licensed Social Worker

Dr. Cornita Cannon , MD

Obstetrics & Gynecology

NPI 1013595297

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1200 W STATE ST, ROCKFORD, IL 611022112 (Tel: 8154901600)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2210 HASSELL RD APT 203, HOFFMAN ESTATES, IL 601952131 (Tel: 6302671476)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SIMA SAM, DDS

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

Dentist

🟢
Initial NPI Registration & Enumeration August 14, 2006

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: 1982617478
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2006
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

2210 Hassell Rd Apt 203

Hoffman Estates, IL 601952131

Phone: 6302671476

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.