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Active NPI 1649283284 Individual Practitioner Female Practitioner

Dr. Divya R Krishna , DMD

Dentist - General Practice • Round Lake, IL

Professional Overview & Biography Verified Profile Summary

Dr. Divya Krishna, DMD is a registered healthcare professional specializing in Dentist - General Practice in Round Lake, IL. Practice services are available at 732 N FAIRFIELD RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

732 N Fairfield Rd

Round Lake, IL 600738160

Telephone 8477404100
Fax 8477404105
Associated Practice Facility / Clinic
🏢 Fairfield Dental Facility NPI 1629347497

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Round Lake, IL

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

Practicing in Round Lake, 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 019027134

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.

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active October 05, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 05, 2017

Registered at 732 N FAIRFIELD RD, ROUND LAKE, IL 600738160 (Tel: (847) 740-4100)

📍
Updated Business Mailing Address October 05, 2017

Registered at 732 N FAIRFIELD RD, ROUND LAKE, IL 600738160 (Tel: (847) 740-4100)

👤
Provider Name / Credentials Updated October 05, 2017

Recorded as DIVYA KRISHNA, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 05, 2017

Dentist (License #019027134 in IL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1250 S US HIGHWAY 12, FOX LAKE, IL 600201950 (Tel: 8475876600)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1250 S US HIGHWAY 12, FOX LAKE, IL 600201950 (Tel: 8475876600)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DIVYA KRISHNA, D.M.D.

🎓
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: 1649283284
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 14, 2006
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

732 N Fairfield Rd

Round Lake, IL 600738160

Phone: 8477404100

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.