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Active NPI 1114139540 Individual Practitioner Female Practitioner

Dr. Martha E Diaz , DDS

Dentist - General Practice • Waukegan, IL

Professional Overview & Biography Verified Profile Summary

Dr. Martha Diaz, DDS is a registered healthcare professional specializing in Dentist - General Practice in Waukegan, IL. Practice services are available at 1611 GRAND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1611 Grand Ave

Waukegan, IL 600853605

Telephone 8475993855
Fax 8475993859
Associated Practice Facility / Clinic
🏢 Martha E. Diaz D.d.s., P.c. Facility NPI 1043481765

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Waukegan, IL

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

Practicing in Waukegan, 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 019.026605

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

9 Historical Events
📍
Updated Practice Location July 26, 2019

Registered at 1611 GRAND AVE, WAUKEGAN, IL 600853605 (Tel: 8475993855)

📍
Updated Business Mailing Address July 26, 2019

Registered at 1611 GRAND AVE, WAUKEGAN, IL 600853605 (Tel: 8475993855)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2019

Dentist (License #019.026605 in IL)

✅
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2634 GRAND AVE, SUITE 207, WAUKEGAN, IL 600852458 (Tel: 8473601610)

📍
Updated Business Mailing Address July 08, 2007

Registered at 285 JENNIFER CT, GURNEE, IL 600313017 (Tel: 8472441874)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARTHA DIAZ, DDS

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

Dentist

🟢
Initial NPI Registration & Enumeration May 06, 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: 1114139540
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 06, 2007
Last Update: July 26, 2019
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

1611 Grand Ave

Waukegan, IL 600853605

Phone: 8475993855

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.