Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1407859283 Deactivated / Inactive NPI Male Practitioner

Thomas Joseph Van Vooren , DMD09

Dentist • Annawan, IL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Thomas Van Vooren has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 24, 2005
NPI Deactivation Date January 06, 2020
Total Practice Duration ~15 Years of Practice (2005 – 2020)

Professional Overview & Biography Verified Profile Summary

Thomas Van Vooren, DMD09 was a registered Dentist practicing in Annawan, IL. Throughout an active medical career spanning 15 years, Thomas Van Vooren provided care at the practice location at 110 S STATE ST until profile deactivation on 2020-01-06.

Practice Location & Contact Primary Location

Practice Address

110 S State St

Annawan, IL 612349716

Telephone 3099356126
Associated Practice Facility / Clinic
🏢 Countrywide Smiles P.c. Facility NPI 1598197105

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Annawan, IL

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

Practicing in Annawan, 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

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

1 Associated Practitioners
NPI 1487092714

Doctor of Dental Medicine

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated January 06, 2020

Record deactivated on January 06, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 110 S STATE ST, ANNAWAN, IL 612349716 (Tel: 3099356126)

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Updated Business Mailing Address July 08, 2007

Registered at 110 S STATE ST, ANNAWAN, IL 612349716 (Tel: 3099356126)

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Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS VAN VOOREN, D.M.D.09

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

Dentist

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Initial NPI Registration & Enumeration May 24, 2005

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: 1407859283
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2005
Last Update: July 08, 2007
Deactivation Date: January 06, 2020

Mailing Address

110 S State St

Annawan, IL 612349716

Phone: 3099356126

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.