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Active NPI 1477908655 Individual Practitioner Male Practitioner

Dr. Matthew Anderson , DMD

Dentist • Roscoe, IL

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Anderson, DMD is a registered healthcare professional specializing in Dentist in Roscoe, IL. Practice services are available at 5464 PINE LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5464 Pine Ln

Roscoe, IL 610737313

Telephone 8156236000

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Roscoe, IL

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

Practicing in Roscoe, 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

CMS Verified: 2020-12-30
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019030703

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
Dr. Janice Ethington , DDS

Dentist - General Practice

NPI 1780885905

Doctor of Dental Surgery

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location December 30, 2020

Registered at 5464 PINE LN, ROSCOE, IL 610737313 (Tel: 8156236000)

📍
Updated Business Mailing Address December 30, 2020

Registered at 5464 PINE LN, ROSCOE, IL 610737313 (Tel: 8156236000)

👤
Provider Name / Credentials Updated December 30, 2020

Recorded as MATTHEW ANDERSON, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 30, 2020

Dentist (License #019030703 in IL)

NPI Profile Active April 26, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 26, 2016

Registered at 9500 EUCLID AVE, CLEVELAND, OH 441950001 (Tel: 2164442200)

📍
Updated Business Mailing Address April 26, 2016

Registered at 9500 EUCLID AVE, CLEVELAND, OH 441950001 (Tel: 2164442200)

👤
Provider Name / Credentials Updated April 26, 2016

Recorded as MATTHEW ANDERSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 26, 2016

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: 1477908655
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2016
Last Update: December 30, 2020
Sole Proprietor: Yes

Mailing Address

5464 Pine Ln

Roscoe, IL 610737313

Phone: 8156236000

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.