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Active NPI 1104008515 Individual Practitioner Male Practitioner

Dr. Vaughn De Guzman , DMD

Dentist - General Practice • Roscoe, IL

Professional Overview & Biography Verified Profile Summary

Dr. Vaughn De Guzman, DMD is a registered healthcare professional specializing in Dentist - General Practice in Roscoe, IL. Practice services are available at 5640 CLAYTON CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5640 Clayton Cir

Roscoe, IL 610739503

Telephone 8156237366
Fax 8156237331
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Roscoe, IL

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

Practicing in Roscoe, 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 019025867

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

3 Associated Practitioners
Dr. Robert Shultz , DDS

Dentist - General Practice

NPI 1588753016

Doctor of Dental Surgery

Dr. Jaclyn Kilby , DMD

Dentist - General Practice

NPI 1811544505

Doctor of Dental Medicine

NPI 1912458399

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active November 28, 2007

NPI status registered as active in NPPES database

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Updated Practice Location November 28, 2007

Registered at 5640 CLAYTON CIR, ROSCOE, IL 610739503 (Tel: 8156237366)

📍
Updated Business Mailing Address November 28, 2007

Registered at 5640 CLAYTON CIR, ROSCOE, IL 610739503 (Tel: 8156237366)

👤
Provider Name / Credentials Updated November 28, 2007

Recorded as VAUGHN DE GUZMAN, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 28, 2007

Dentist (License #019025867 in IL)

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Initial NPI Registration & Enumeration November 28, 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: 1104008515
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 28, 2007
Last Update: November 28, 2007
Sole Proprietor: No

Mailing Address

5640 Clayton Cir

Roscoe, IL 610739503

Phone: 8156237366

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.