Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1972779056 Deactivated / Inactive NPI Male Practitioner

Dr. Gary Norman Taylor , DDS

Dentist - Endodontics • Countryside, 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. Gary Taylor has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 07, 2008
NPI Deactivation Date April 07, 2020
Total Practice Duration ~12 Years of Practice (2008 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Gary Taylor, DDS was a registered Dentist - Endodontics practicing in Countryside, IL. Throughout an active medical career spanning 12 years, Dr. Taylor provided care at the practice location at 475 W 55TH ST until profile deactivation on 2020-04-07.

Practice Location & Contact Primary Location

Practice Address

475 W 55th St
Suite 208

Countryside, IL 605253564

Telephone 7085790488
Associated Practice Facility / Clinic
🏢 Allbest Home Health Care Inc Facility NPI 1184606121

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Countryside, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
2 Specialists

Practicing in Countryside, IL (222 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 - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License IL 021-000978

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Madeline Lemmenes , APRN

Dentist - Oral and Maxillofacial Surgery

NPI 1093562159

Advanced Practice Registered Nurse

Dr. Richard Kohn , DDS MS

Dentist - Endodontics

NPI 1336315274

DDSMS

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 April 07, 2020

Record deactivated on April 07, 2020

NPI Profile Active May 07, 2008

NPI status registered as active in NPPES database

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Updated Practice Location May 07, 2008

Registered at 475 W 55TH ST, SUITE 208, COUNTRYSIDE, IL 605253564 (Tel: 7085790488)

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Updated Business Mailing Address May 07, 2008

Registered at 475 W 55TH ST, SUITE 208, COUNTRYSIDE, IL 605253564 (Tel: 7085790488)

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Provider Name / Credentials Updated May 07, 2008

Recorded as GARY TAYLOR, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2008

Dentist (License #021-000978 in IL)

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Initial NPI Registration & Enumeration May 07, 2008

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: 1972779056
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 07, 2008
Last Update: May 07, 2008
Deactivation Date: April 07, 2020

Mailing Address

475 W 55th St, Suite 208

Countryside, IL 605253564

Phone: 7085790488

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.