Dr. Thomas J Burrell , DDS
Dentist - General Practice • Chicago, 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. Thomas Burrell has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Thomas Burrell, DDS was a registered Dentist - General Practice practicing in Chicago, IL. Throughout an active medical career spanning 15 years, Dr. Burrell provided care at the practice location at 11416 S MICHIGAN AVE until profile deactivation on 2022-09-20.
Practice Location & Contact Primary Location
11416 S Michigan Ave
Chicago, IL 606284932
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Chicago, IL
Practicing in Chicago, IL (5581 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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
Obstetrics & Gynecology
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Internal Medicine
DOTAKAYLAWILLIAMS
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on September 20, 2022
NPI status registered as active in NPPES database
Registered at 11416 S MICHIGAN AVE, CHICAGO, IL 606284932 (Tel: 7738217436)
Registered at PO BOX 157, MATTESON, IL 604430157 (Tel: 7738217436)
Recorded as THOMAS BURRELL, DDS
Dentist
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 157
Matteson, IL 604430157
Phone: 7738217436
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