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Deactivated NPI 1770597031 Deactivated / Inactive NPI Male Practitioner

Dr. Mark Laurence Bancroft , DDS

Dentist - General Practice • Aurora, 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. Mark Bancroft has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 29, 2006
NPI Deactivation Date August 10, 2017
Total Practice Duration ~11 Years of Practice (2006 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Bancroft, DDS was a registered Dentist - General Practice practicing in Aurora, IL. Throughout an active medical career spanning 11 years, Dr. Bancroft provided care at the practice location at 1940 W GALENA BLVD until profile deactivation on 2017-08-10.

Practice Location & Contact Primary Location

Practice Address

1940 W Galena Blvd
Suite 7

Aurora, IL 605064319

Telephone 6308928224
Fax 6308928245
Associated Practice Facility / Clinic
🏢 Gregory L. Fauth, D.d.s.,p.c. Facility NPI 1184736241

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Aurora, IL

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

Practicing in Aurora, 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 019-023604

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Michael Thomas , DDS

Dentist - General Practice

NPI 1124406822

Doctor of Dental Surgery

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 10, 2017

Record deactivated on August 10, 2017

NPI Profile Active December 06, 2010

NPI status registered as active in NPPES database

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Updated Practice Location December 06, 2010

Registered at 1940 W GALENA BLVD, SUITE 7, AURORA, IL 605064319 (Tel: 6308928224)

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Updated Business Mailing Address December 06, 2010

Registered at 1940 W GALENA BLVD, SUITE 7, AURORA, IL 605064319 (Tel: 6308928224)

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Provider Name / Credentials Updated December 06, 2010

Recorded as MARK BANCROFT, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2010

Dentist (License #019-023604 in IL)

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Initial NPI Registration & Enumeration July 29, 2006

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: 1770597031
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 29, 2006
Last Update: December 06, 2010
Deactivation Date: August 10, 2017

Mailing Address

1940 W Galena Blvd, Suite 7

Aurora, IL 605064319

Phone: 6308928224

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.