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Deactivated NPI 1285832006 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Tadeusz Grenda , DDS

Dentist - General Practice • Champaign, 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. Robert Grenda has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 03, 2007
NPI Deactivation Date June 14, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Grenda, DDS was a registered Dentist - General Practice practicing in Champaign, IL. Throughout an active medical career spanning 14 years, Dr. Grenda provided care at the practice location at 201 W KENYON RD until profile deactivation on 2021-06-14.

Practice Location & Contact Primary Location

Practice Address

201 W Kenyon Rd

Champaign, IL 618207892

Telephone 2175314279
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Champaign, IL

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

Practicing in Champaign, 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 019011991

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

4 Associated Practitioners
Grace Dane , RDH, PHDH

Dental Hygienist

NPI 1417820531

Registered Dental Hygienist, PHDH

Autumn Tatman

Dental Hygienist

NPI 1487389581
Lindy Cash

Dental Hygienist

NPI 1679201461
NPI 1801080916

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 June 14, 2021

Record deactivated on June 14, 2021

NPI Profile Active May 29, 2012

NPI status registered as active in NPPES database

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Updated Practice Location May 29, 2012

Registered at 201 W KENYON RD, CHAMPAIGN, IL 618207892 (Tel: 2175314279)

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Updated Business Mailing Address May 29, 2012

Registered at 511 VALLEY VIEW DR, PHILO, IL 618649625 (Tel: 2176842408)

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Provider Name / Credentials Updated May 29, 2012

Recorded as ROBERT GRENDA, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2012

Dentist (License #019011991 in IL)

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Initial NPI Registration & Enumeration July 03, 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: 1285832006
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2007
Last Update: May 29, 2012
Deactivation Date: June 14, 2021

Mailing Address

511 Valley View Dr

Philo, IL 618649625

Phone: 2176842408

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.