Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619538485 Individual Practitioner Male Practitioner

John Perisin

Dentist • St Charles, IL

Professional Overview & Biography Verified Profile Summary

John Perisin is a registered healthcare professional specializing in Dentist in St Charles, IL. Practice services are available at 516 E MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

516 E Main St

St Charles, IL 601742133

Telephone 6303773131
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in St Charles, IL

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

Practicing in St Charles, 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: 2023-07-06
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019.032202

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.

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Lynn Lipskis , DDS

Dentist - General Practice

NPI 1003990060

Doctor of Dental Surgery

NPI 1235547969

Doctor of Dental Surgery

Dr. Krysta Lilland , DDS

Dentist - General Practice

NPI 1265726921

Doctor of Dental Surgery

Dr. Edmund Lipskis , DDS

Dentist - General Practice

NPI 1417031550

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 July 06, 2023

Registered at 516 E MAIN ST, ST CHARLES, IL 601742133 (Tel: 6303773131)

NPI Profile Active June 24, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location June 24, 2019

Registered at 11585 US HIGHWAY 14, WOODSTOCK, IL 600987227 (Tel: 3093697235)

📍
Updated Business Mailing Address June 24, 2019

Registered at 106 E HANOVER PL, PEORIA, IL 616142120

👤
Provider Name / Credentials Updated June 24, 2019

Recorded as JOHN PERISIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2019

Dentist (License #019.032202 in IL)

🟢
Initial NPI Registration & Enumeration June 24, 2019

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: 1619538485
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 24, 2019
Last Update: July 06, 2023
Sole Proprietor: No

Mailing Address

106 E Hanover Pl

Peoria, IL 616142120

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.