Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871190884 Individual Practitioner Male Practitioner

Dr. Jorge Enrique Mosquera Castrillon , DDS

Dentist • Springfield, IL

Professional Overview & Biography Verified Profile Summary

Dr. Jorge Mosquera Castrillon, DDS is a registered healthcare professional specializing in Dentist in Springfield, IL. Practice services are available at 687 E LINTON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

687 E Linton Ave

Springfield, IL 627035902

Telephone 7189092550
Associated Practice Facility / Clinic
🏢 Secure Dental Iii Llc Facility NPI 1720470339

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

CMS Verified: 2023-07-25
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019032932

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.

Dentist - Prosthodontics

NUCC Taxonomy Code: 1223P0700X

State License IL 021003081

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Secondary Practice Locations

2701 N Dirksen Pkwy

Springfield, IL 627021407

Phone: 2174921400

1902 N Prospect Ave Ste 1

Champaign, IL 618221411

Phone: 2172049025

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Kayoun Lee , DMD

Dentist - General Practice

NPI 1104378322

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 July 26, 2023

Registered at 687 E LINTON AVE, SPRINGFIELD, IL 627035902 (Tel: 7189092550)

📍
Updated Business Mailing Address July 26, 2023

Registered at 3500 SANDPIPER DR, SPRINGFIELD, IL 627116722 (Tel: 5616358018)

NPI Profile Active October 02, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 02, 2020

Registered at 2701 N DIRKSEN PKWY, SPRINGFIELD, IL 627021407 (Tel: 2174921400)

📍
Updated Business Mailing Address October 02, 2020

Registered at 6061 OAK ROYAL DR, LAKE WORTH, FL 334636724 (Tel: 5616358018)

👤
Provider Name / Credentials Updated October 02, 2020

Recorded as JORGE MOSQUERA CASTRILLON, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 02, 2020

Dentist (License #019032932 in IL)

🟢
Initial NPI Registration & Enumeration October 02, 2020

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: 1871190884
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2020
Last Update: July 26, 2023
Sole Proprietor: No

Mailing Address

3500 Sandpiper Dr

Springfield, IL 627116722

Phone: 5616358018

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.