Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205056207 Individual Practitioner Male Practitioner

Dr. Blake Kunimoto , DDS

Dentist • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Dr. Blake Kunimoto, DDS is a registered healthcare professional specializing in Dentist in Springfield, IL. Practice services are available at 3124 MONTVALE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3124 Montvale Dr

Springfield, IL 627046937

Telephone 2175468777
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Springfield, IL

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

Practicing in Springfield, 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019025927

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 3124 MONTVALE DR, SPRINGFIELD, IL 627046937 (Tel: 2175468777)

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Updated Business Mailing Address July 08, 2007

Registered at 3807 WEXFORD DR, SPRINGFIELD, IL 627046715

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Provider Name / Credentials Updated July 08, 2007

Recorded as BLAKE KUNIMOTO, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #019025927 in IL)

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Initial NPI Registration & Enumeration May 01, 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: 1205056207
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 01, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

3807 Wexford Dr

Springfield, IL 627046715

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.