1. Home
  2. Directory
  3. NPI Profile

SHADY OAK DENTAL LLC - BURLINGTON DENTAL
NPI 1396351425
Dentist in Burlington, IL

Active since September 23, 2020
255 S MAIN ST, BURLINGTON, IL 60109(847) 683-9812 Get Directions Write a Review

NPPES record last updated: September 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shady Oak Dental Llc - Burlington Dental NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHADY OAK DENTAL LLC - BURLINGTON DENTAL (NPI 1396351425), doing business as Burlington Dental, is a healthcare organization registered as a dentist in Burlington, Illinois and active in the NPI registry since September 2020. The organization lists Scott C Bares, President, as its authorized official.

NPPES Registry Identity

NPI1396351425
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSHADY OAK DENTAL LLC - BURLINGTON DENTAL
Location Address255 S MAIN STBurlington, IL 60109-1116
Mailing Address255 S Main StBurlington, IL 60109-1116 · (847) 683-9812
Phone(847) 683-9812
Organization SubpartYesParent: Shady Oak Dental Llc
Authorized OfficialScott C BaresPresident · (815) 938-2575
Enumeration DateSeptember 23, 2020
NPPES CertifiedSeptember 23, 2020
✔ NPI 1396351425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
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.
255 S MAIN ST, Burlington, IL 60109
Open in Google Maps ↗

Other Names 1

Doing Business AsBurlington Dental

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shady Oak Dental LLC - Burlington Dental's NPI number?

The NPI number for Shady Oak Dental LLC - Burlington Dental is 1396351425. It was assigned to this organization in the NPPES registry on September 23, 2020. The provider is doing business as Burlington Dental.

Where is Shady Oak Dental LLC - Burlington Dental located?

Shady Oak Dental LLC - Burlington Dental is located at 255 S Main St, Burlington, IL 60109. The listed phone number is (847) 683-9812.

What is Shady Oak Dental LLC - Burlington Dental's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Shady Oak Dental LLC - Burlington Dental accept?

Health plans from UnitedHealthcare list Shady Oak Dental LLC - Burlington Dental as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shady Oak Dental LLC - Burlington Dental was last updated on September 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.