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Deactivated NPI 1114086014 Deactivated / Inactive NPI Male Practitioner

Dr. William J Dvorak , DDS

Dentist - General Practice • Glen Ellyn, 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. William Dvorak has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 06, 2006
NPI Deactivation Date January 09, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. William Dvorak, DDS was a registered Dentist - General Practice practicing in Glen Ellyn, IL. Throughout an active medical career spanning 19 years, Dr. Dvorak provided care at the practice location at 430 N MAIN STREET until profile deactivation on 2025-01-09.

Practice Location & Contact Primary Location

Practice Address

430 N Main Street

Glen Ellyn, IL 60137

Telephone 6308587017
Fax 6308584399
Associated Practice Facility / Clinic
🏢 William J Dvorak Dds Ltd Facility NPI 1730247099

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Glen Ellyn, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
29 Specialists

Practicing in Glen Ellyn, IL (5581 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 1914549

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.

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 09, 2025

Record deactivated on January 09, 2025

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 430 N MAIN STREET, GLEN ELLYN, IL 60137 (Tel: 6308587017)

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Updated Business Mailing Address July 08, 2007

Registered at 430 N MAIN STREET, GLEN ELLYN, IL 60137 (Tel: 6308587017)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WILLIAM DVORAK, DDS

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

Dentist (License #1914549 in IL)

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Initial NPI Registration & Enumeration December 06, 2006

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: 1114086014
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2006
Last Update: July 08, 2007
Deactivation Date: January 09, 2025

Mailing Address

430 N Main Street

Glen Ellyn, IL 60137

Phone: 6308587017

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.