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Deactivated NPI 1619186780 Deactivated / Inactive NPI Male Practitioner

Dr. Richard Morgan Frederick , DMD

Dentist • Galatia, 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. Richard Frederick has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 22, 2007
NPI Deactivation Date January 02, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Richard Frederick, DMD was a registered Dentist practicing in Galatia, IL. Throughout an active medical career spanning 13 years, Dr. Frederick provided care at the practice location at 309 MAIN ST until profile deactivation on 2020-01-02.

Practice Location & Contact Primary Location

Practice Address

309 Main St

Galatia, IL 62935

Telephone 6182684905

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Galatia, IL

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

Practicing in Galatia, 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

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.

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 January 02, 2020

Record deactivated on January 02, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 309 MAIN ST, GALATIA, IL 62935 (Tel: 6182684905)

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Updated Business Mailing Address July 08, 2007

Registered at PO BOX 337, 309 MAIN ST, GALATIA, IL 62935 (Tel: 6182684905)

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Provider Name / Credentials Updated July 08, 2007

Recorded as RICHARD FREDERICK, DMD

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

Dentist

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Initial NPI Registration & Enumeration May 22, 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: 1619186780
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2007
Last Update: July 08, 2007
Deactivation Date: January 02, 2020

Mailing Address

Po Box 337, 309 Main St

Galatia, IL 62935

Phone: 6182684905

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.