Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1548313463 Deactivated / Inactive NPI Male Practitioner

Dr. Robert E Blagg , DDS

Dentist • Charleston, IL

⚠️

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 Blagg has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 22, 2007
NPI Deactivation Date August 14, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Blagg, DDS was a registered Dentist practicing in Charleston, IL. Throughout an active medical career spanning 17 years, Dr. Blagg provided care at the practice location at 1063 10TH ST until profile deactivation on 2024-08-14.

Practice Location & Contact Primary Location

Practice Address

1063 10th St

Charleston, IL 619202885

Telephone 2173453352

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Charleston, IL

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

Practicing in Charleston, 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 A11276

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. Mary Weber , DMD

Dentist - General Practice

NPI 1083787170

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated August 14, 2024

Record deactivated on August 14, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1063 10TH ST, CHARLESTON, IL 619202885 (Tel: 2173453352)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1063 10TH ST, CHARLESTON, IL 619202885 (Tel: 2173453352)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ROBERT BLAGG, DDS

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

Dentist (License #A11276 in IL)

🟢
Initial NPI Registration & Enumeration January 22, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Robert Blagg. Be the first to share your experience!

Sign in to leave a review for Dr. Robert Blagg

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1548313463
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2007
Last Update: July 08, 2007
Deactivation Date: August 14, 2024

Mailing Address

1063 10th St

Charleston, IL 619202885

Phone: 2173453352

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.