Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1104080936 Deactivated / Inactive NPI Male Practitioner

Dr. David Steele Bresnahan , DDS

Dentist • Joliet, IL

⚠️

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. David Bresnahan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 10, 2008
NPI Deactivation Date May 09, 2017
Total Practice Duration ~9 Years of Practice (2008 – 2017)

Professional Overview & Biography Verified Profile Summary

Dr. David Bresnahan, DDS was a registered Dentist practicing in Joliet, IL. Throughout an active medical career spanning 9 years, Dr. Bresnahan provided care at the practice location at 815 N LARKIN AVE until profile deactivation on 2017-05-09.

Practice Location & Contact Primary Location

Practice Address

815 N Larkin Ave

Joliet, IL 604353438

Telephone 8157294147
Fax 8157294149
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Joliet, IL

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

Practicing in Joliet, 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 12150

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

15 Associated Practitioners
Robert Stoner , MA PSYCHOLOGIST

Psychologist - Clinical

NPI 1073782132

MAPSYCHOLOGIST

Jonathan Westhoff , LCSW

Counselor - Mental Health

NPI 1073885844

Licensed Clinical Social Worker

Nicole Havlicek-Ramirez , LPC

Counselor - Mental Health

NPI 1255616975

Licensed Professional Counselor

Rebecca Leschewski , OTR, L

Occupational Therapist

NPI 1366611659

Occupational Therapist Registered, L

Dolly Dugan , LCPC

Counselor - Professional

NPI 1437451937

Licensed Clinical Professional Counselor

Timothy Price , CPO

Specialist - Prosthetics Case Management

NPI 1487851283

Certified Prosthetist Orthotist

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated May 09, 2017

Record deactivated on May 09, 2017

NPI Profile Active July 10, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location July 10, 2008

Registered at 815 N LARKIN AVE, JOLIET, IL 604353438 (Tel: 8157294147)

📍
Updated Business Mailing Address July 10, 2008

Registered at 815 N LARKIN AVE, JOLIET, IL 604353438 (Tel: 8157294147)

👤
Provider Name / Credentials Updated July 10, 2008

Recorded as DAVID BRESNAHAN, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2008

Dentist (License #12150 in IL)

🟢
Initial NPI Registration & Enumeration July 10, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. David Bresnahan. Be the first to share your experience!

Sign in to leave a review for Dr. David Bresnahan

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1104080936
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2008
Last Update: July 10, 2008
Deactivation Date: May 09, 2017

Mailing Address

815 N Larkin Ave

Joliet, IL 604353438

Phone: 8157294147

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.