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Deactivated NPI 1396425708 Deactivated / Inactive NPI Male Practitioner

Dr. Angelo Semenza , DDS, MS

Dentist - General Practice • Chicago, 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. Angelo Semenza has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 20, 2023
NPI Deactivation Date February 26, 2024
Total Practice Duration ~1 Years of Practice (2023 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Angelo Semenza, DDS, MS was a registered Dentist - General Practice practicing in Chicago, IL. Throughout an active medical career spanning 1 years, Dr. Semenza provided care at the practice location at 4310 S PULASKI RD until profile deactivation on 2024-02-26.

Practice Location & Contact Primary Location

Practice Address

4310 S Pulaski Rd

Chicago, IL 606324009

Telephone 3122744520
Associated Practice Facility / Clinic
🏢 Studio Dental, Llc Facility NPI 1174956155

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Chicago, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
1200 Specialists

Practicing in Chicago, IL (5581 Statewide)

Telehealth Adoption Rate
0.1% 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

CMS Verified: 2025-09-04
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019036299

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

12 Associated Practitioners
Wen-Chyi Ying

Dentist - General Practice

NPI 1053668285
Vaishnavi Inginshetty

Dentist - General Practice

NPI 1083413595
Dr. Lovejit Kaur , DDS

Dentist - General Practice

NPI 1144023805

Doctor of Dental Surgery

NPI 1215384284
Warren Lim

Dentist - General Practice

NPI 1285563064
NPI 1346589595

Doctor of Dental Surgery

Career & Practice History Timeline

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

11 Historical Events
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Updated Practice Location September 04, 2025

Registered at 4310 S PULASKI RD, CHICAGO, IL 606324009 (Tel: 3122744520)

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Updated Business Mailing Address September 04, 2025

Registered at 4310 S PULASKI RD, CHICAGO, IL 606324009 (Tel: 3122744520)

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Provider Name / Credentials Updated September 04, 2025

Recorded as ANGELO SEMENZA, DDS, MS

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 04, 2025

Dentist (License #019036299 in IL)

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NPI Profile Deactivated February 26, 2024

Record deactivated on February 26, 2024

NPI Profile Active July 20, 2023

NPI status registered as active in NPPES database

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Updated Practice Location July 20, 2023

Registered at 345 E. 24TH STREET, NEW YORK, NY 10010 (Tel: 2129989800)

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Updated Business Mailing Address July 20, 2023

Registered at 345 E. 24TH STREET, NEW YORK, NY 10010 (Tel: 2129989800)

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Provider Name / Credentials Updated July 20, 2023

Recorded as ANGELO SEMENZA, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2023

Student in an Organized Health Care Education/Training Program

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Initial NPI Registration & Enumeration July 20, 2023

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: 1396425708
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 20, 2023
Last Update: September 04, 2025
Deactivation Date: February 26, 2024
Sole Proprietor: No

Mailing Address

4310 S Pulaski Rd

Chicago, IL 606324009

Phone: 3122744520

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.