Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1881828580 Deactivated / Inactive NPI Male Practitioner

Dr. Michael L Mollohan , DMD

Dentist • Atlanta, 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, Dr. Michael Mollohan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 08, 2009
NPI Deactivation Date August 28, 2018
Total Practice Duration ~9 Years of Practice (2009 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Mollohan, DMD was a registered Dentist practicing in Atlanta, IL. Throughout an active medical career spanning 9 years, Dr. Mollohan provided care at the practice location at 205 SE RACE ST until profile deactivation on 2018-08-28.

Practice Location & Contact Primary Location

Practice Address

205 Se Race St

Atlanta, IL 61723

Telephone 2176482828
Fax 2176482951
Associated Practice Facility / Clinic
🏢 Smalltown Dental Atlanta Facility NPI 1417515453

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Atlanta, IL

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

Practicing in Atlanta, 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

State License IL 019.021602

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
Dr. Gabrielle Coe , DMD

Dentist - General Practice

NPI 1306404389

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 August 28, 2018

Record deactivated on August 28, 2018

NPI Profile Active May 08, 2009

NPI status registered as active in NPPES database

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Updated Practice Location May 08, 2009

Registered at 205 SE RACE ST, ATLANTA, IL 61723 (Tel: 2176482828)

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Updated Business Mailing Address May 08, 2009

Registered at PO BOX 445, 205 SE RACE ST, ATLANTA, IL 61723 (Tel: 2176482828)

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Provider Name / Credentials Updated May 08, 2009

Recorded as MICHAEL MOLLOHAN, D.M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 08, 2009

Dentist (License #019.021602 in IL)

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Initial NPI Registration & Enumeration May 08, 2009

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: 1881828580
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 08, 2009
Last Update: May 08, 2009
Deactivation Date: August 28, 2018

Mailing Address

Po Box 445, 205 Se Race St

Atlanta, IL 61723

Phone: 2176482828

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.