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Active NPI 1326527623 Individual Practitioner Male Practitioner

Dr. Ziad Shannis , DDS

Dentist - General Practice • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Dr. Ziad Shannis, DDS is a registered healthcare professional specializing in Dentist - General Practice in Springfield, IL. Practice services are available at 1905 MONTANA DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1905 Montana Dr

Springfield, IL 62704

Telephone 8179037945

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Springfield, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
77 Specialists

Practicing in Springfield, 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 019031902

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License FL DN23712

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.

Secondary Practice Locations

8141 Sw 24th Ct Apt 107

Davie, FL 333245736

Phone: 8179037945

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1164687703

Doctor of Dental Surgery

Dr. Lisa Baines , DMD

Dentist - General Practice

NPI 1679766638

Doctor of Dental Medicine

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location October 06, 2018

Registered at 1905 MONTANA DR, SPRINGFIELD, IL 62704 (Tel: 8179037945)

📍
Updated Business Mailing Address October 06, 2018

Registered at 1905 MONTANA DR, SPRINGFIELD, IL 627047008 (Tel: 8179037945)

NPI Profile Active August 08, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 08, 2018

Registered at 8141 SW 24TH CT APT 107, DAVIE, FL 333245736 (Tel: 8179037945)

📍
Updated Business Mailing Address August 08, 2018

Registered at 8141 SW 24TH CT APT 107, DAVIE, FL 333245736 (Tel: 8179037945)

👤
Provider Name / Credentials Updated August 08, 2018

Recorded as ZIAD SHANNIS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2018

Dentist (License #DN23712 in FL)

🟢
Initial NPI Registration & Enumeration August 08, 2018

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: 1326527623
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 08, 2018
Last Update: October 06, 2018
Sole Proprietor: No

Mailing Address

1905 Montana Dr

Springfield, IL 627047008

Phone: 8179037945

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.