Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710193917 Individual Practitioner Male Practitioner

Dr. Konstantino J Mantis , DDS

Dentist • Wilmette, IL

Professional Overview & Biography Verified Profile Summary

Dr. Konstantino Mantis, DDS is a registered healthcare professional specializing in Dentist in Wilmette, IL. Practice services are available at 1625 SHERIDAN RD STE J under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1625 Sheridan Rd Ste J

Wilmette, IL 600911800

Telephone 8472564776
Fax 8472560989
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Wilmette, IL

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

Practicing in Wilmette, 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: 2024-06-17
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019020682

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 - General Practice

NUCC Taxonomy Code: 1223G0001X

State License IL 019020682

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 June 17, 2024

Registered at 1625 SHERIDAN RD STE J, WILMETTE, IL 600911800 (Tel: 8472564776)

📍
Updated Business Mailing Address June 17, 2024

Registered at 1625 SHERIDAN RD STE J, WILMETTE, IL 600911800 (Tel: 8472564776)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 17, 2024

Dentist (License #019020682 in IL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 796 STATE LINE RD, CALUMET CITY, IL 604094643 (Tel: 7088626970)

📍
Updated Business Mailing Address July 08, 2007

Registered at 796 STATE LINE RD, CALUMET CITY, IL 604094643 (Tel: 7088626970)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KONSTANTINO MANTIS, D.D.S.

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

Dentist

🟢
Initial NPI Registration & Enumeration May 15, 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: 1710193917
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2007
Last Update: June 17, 2024
Sole Proprietor: Yes

Mailing Address

1625 Sheridan Rd Ste J

Wilmette, IL 600911800

Phone: 8472564776

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.