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Deactivated NPI 1366680878 Deactivated / Inactive NPI Male Practitioner

Dr. Robert Jacob Bernardi , DDS

Dentist • Granite City, 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. Robert Bernardi has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 22, 2009
NPI Deactivation Date October 21, 2023
Total Practice Duration ~14 Years of Practice (2009 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Robert Bernardi, DDS was a registered Dentist practicing in Granite City, IL. Throughout an active medical career spanning 14 years, Dr. Bernardi provided care at the practice location at 3710 PONTOON RD until profile deactivation on 2023-10-21.

Practice Location & Contact Primary Location

Practice Address

3710 Pontoon Rd

Granite City, IL 620404264

Telephone 6189312322

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Granite City, IL

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

Practicing in Granite City, 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

State License IL 19012664

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Stephen Conway

Dentist - General Practice

NPI 1821429747

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 October 21, 2023

Record deactivated on October 21, 2023

NPI Profile Active January 22, 2009

NPI status registered as active in NPPES database

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Updated Practice Location January 22, 2009

Registered at 3710 PONTOON RD, GRANITE CITY, IL 620404264 (Tel: 6189312322)

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Updated Business Mailing Address January 22, 2009

Registered at 3710 PONTOON RD, GRANITE CITY, IL 620404264 (Tel: 6189312322)

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Provider Name / Credentials Updated January 22, 2009

Recorded as ROBERT BERNARDI, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 22, 2009

Dentist (License #19012664 in IL)

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Initial NPI Registration & Enumeration January 22, 2009

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: 1366680878
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2009
Last Update: January 22, 2009
Deactivation Date: October 21, 2023

Mailing Address

3710 Pontoon Rd

Granite City, IL 620404264

Phone: 6189312322

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.