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Deactivated NPI 1376899542 Deactivated / Inactive NPI Male Practitioner

Dr. Gregory L Fauth , DDS

Dentist - Periodontics • 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. Gregory Fauth has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 25, 2012
NPI Deactivation Date January 16, 2018
Total Practice Duration ~6 Years of Practice (2012 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Gregory Fauth, DDS was a registered Dentist - Periodontics practicing in Aurora, IL. Throughout an active medical career spanning 6 years, Dr. Fauth provided care at the practice location at 1940 W GALENA BLVD until profile deactivation on 2018-01-16.

Practice Location & Contact Primary Location

Practice Address

1940 W Galena Blvd
Suite 4

Aurora, IL 605064319

Telephone 6308962900
Fax 6308962968
Associated Practice Facility / Clinic
🏢 Gregory L. Fauth, D.d.s.,p.c. Facility NPI 1184736241

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Periodontics in Aurora, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
6 Specialists

Practicing in Aurora, IL (229 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 - Periodontics Primary Specialty

NUCC Taxonomy Code: 1223P0300X

State License IL 019014554

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Practice Associates & Co-Workers

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

9 Associated Practitioners
Dr. James Pauly , DDS

Dentist - General Practice

NPI 1063584001

Doctor of Dental Surgery

Dr. Satish Gottumukkula , DMD

Dentist - General Practice

NPI 1316042690

Doctor of Dental Medicine

Dr. Richard Bertoglio , DDS

Dentist - General Practice

NPI 1417985839

Doctor of Dental Surgery

Dr. Ronald Putzler , DDS

Dentist - General Practice

NPI 1679741698

Doctor of Dental Surgery

NPI 1740629468

Doctor of Dental Surgery

Dr. Mark Bancroft , DDS

Dentist - General Practice

NPI 1770597031

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 January 16, 2018

Record deactivated on January 16, 2018

NPI Profile Active July 25, 2012

NPI status registered as active in NPPES database

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Updated Practice Location July 25, 2012

Registered at 1940 W GALENA BLVD, SUITE 4, AURORA, IL 605064319 (Tel: 6308962900)

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Updated Business Mailing Address July 25, 2012

Registered at 1940 W GALENA BLVD, SUITE 4, AURORA, IL 605064319 (Tel: 6308962900)

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Provider Name / Credentials Updated July 25, 2012

Recorded as GREGORY FAUTH, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2012

Dentist (License #019014554 in IL)

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Initial NPI Registration & Enumeration July 25, 2012

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: 1376899542
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 25, 2012
Last Update: July 25, 2012
Deactivation Date: January 16, 2018

Mailing Address

1940 W Galena Blvd, Suite 4

Aurora, IL 605064319

Phone: 6308962900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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