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Deactivated NPI 1437291085 Deactivated / Inactive NPI Male Practitioner

Dr. Leonid Razdolsky , DDS

Dentist - General Practice • Buffalo Grove, 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. Leonid Razdolsky has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 12, 2007
NPI Deactivation Date September 07, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Leonid Razdolsky, DDS was a registered Dentist - General Practice practicing in Buffalo Grove, IL. Throughout an active medical career spanning 15 years, Dr. Razdolsky provided care at the practice location at 180 MILWAUKEE AVE until profile deactivation on 2022-09-07.

Practice Location & Contact Primary Location

Practice Address

180 Milwaukee Ave
Ste 103

Buffalo Grove, IL 600891840

Telephone 8474659676
Associated Practice Facility / Clinic
🏢 Leon Raz Dds, Sc Facility NPI 1588707525

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Buffalo Grove, IL

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

Practicing in Buffalo Grove, 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 019018530

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. Alexander Osovsky , DDS

Dentist - General Practice

NPI 1174665731

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 September 07, 2022

Record deactivated on September 07, 2022

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 180 MILWAUKEE AVE, STE 103, BUFFALO GROVE, IL 600891840 (Tel: 8474659676)

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Updated Business Mailing Address July 08, 2007

Registered at 180 MILWAUKEE AVE, STE 103, BUFFALO GROVE, IL 600891840 (Tel: 8474659676)

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Provider Name / Credentials Updated July 08, 2007

Recorded as LEONID RAZDOLSKY, DDS

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

Dentist (License #019018530 in IL)

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Initial NPI Registration & Enumeration February 12, 2007

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: 1437291085
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 12, 2007
Last Update: July 08, 2007
Deactivation Date: September 07, 2022

Mailing Address

180 Milwaukee Ave, Ste 103

Buffalo Grove, IL 600891840

Phone: 8474659676

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.