Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1396566824 Individual Practitioner Female Practitioner

Shruti Dhirendra Vasani , BDS, MPH, AEGD

Dentist - General Practice • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Shruti Vasani, BDS, MPH, AEGD is a registered healthcare professional specializing in Dentist - General Practice in Springfield, IL. Practice services are available at 2239 E COOK ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2239 E Cook St

Springfield, IL 627031944

Telephone 2177882300
Associated Practice Facility / Clinic

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

CMS Verified: 2025-05-21
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019.035555

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

37 Associated Practitioners
NPI 1013145226

Doctor of Dental Medicine

NPI 1053309054

Doctor of Dental Surgery

Corinne Jahns , NP

Nurse Practitioner - Family

NPI 1053779751

Nurse Practitioner

Laci Watson , NP

Nurse Practitioner - Family

NPI 1053847509

Nurse Practitioner

Ankush Katkade

Dentist - General Practice

NPI 1063179919

Doctor of Dental Surgery

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location May 21, 2025

Registered at 2239 E COOK ST, SPRINGFIELD, IL 627031944 (Tel: 2177882300)

NPI Profile Active October 17, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location October 17, 2024

Registered at 802 N 9TH ST, SPRINGFIELD, IL 627026309 (Tel: 2176792896)

📍
Updated Business Mailing Address October 17, 2024

Registered at 5 CANDLEWOOD DR APT 11, SPRINGFIELD, IL 627048010 (Tel: 6019267854)

👤
Provider Name / Credentials Updated October 17, 2024

Recorded as SHRUTI VASANI, B.D.S, M.P.H, AEGD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2024

Dentist (License #019.035555 in IL)

🟢
Initial NPI Registration & Enumeration October 17, 2024

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: 1396566824
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2024
Last Update: May 21, 2025
Sole Proprietor: No

Mailing Address

5 Candlewood Dr Apt 11

Springfield, IL 627048010

Phone: 6019267854

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.