Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720236128 Individual Practitioner Male Practitioner

Dr. Bradley W Mitchell , DMD

Dentist - General Practice • Waterloo, IL

Professional Overview & Biography Verified Profile Summary

Dr. Bradley Mitchell, DMD is a registered healthcare professional specializing in Dentist - General Practice in Waterloo, IL. Practice services are available at 413 W 3RD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

413 W 3rd St

Waterloo, IL 622981358

Telephone 6189396128
Fax 6189396128

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Waterloo, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Waterloo, 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 19015801

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 28, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location August 28, 2008

Registered at 413 W 3RD ST, WATERLOO, IL 622981358 (Tel: 6189396128)

📍
Updated Business Mailing Address August 28, 2008

Registered at 413 W 3RD ST, WATERLOO, IL 622981358 (Tel: 6189396128)

👤
Provider Name / Credentials Updated August 28, 2008

Recorded as BRADLEY MITCHELL, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2008

Dentist (License #19015801 in IL)

🟢
Initial NPI Registration & Enumeration August 28, 2008

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: 1720236128
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2008
Last Update: August 28, 2008
Sole Proprietor: Yes

Mailing Address

413 W 3rd St

Waterloo, IL 622981358

Phone: 6189396128

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.