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Deactivated NPI 1134253107 Deactivated / Inactive NPI Male Practitioner

Dr. Roger Edwin Sienkiewicz , DDS

Dentist - General Practice • Justice, 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. Roger Sienkiewicz has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 14, 2007
NPI Deactivation Date July 09, 2026
Total Practice Duration ~19 Years of Practice (2007 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Roger Sienkiewicz, DDS was a registered Dentist - General Practice practicing in Justice, IL. Throughout an active medical career spanning 19 years, Dr. Sienkiewicz provided care at the practice location at 8021 W 79TH ST until profile deactivation on 2026-07-09.

Practice Location & Contact Primary Location

Practice Address

8021 W 79th St

Justice, IL 604581607

Telephone 7084587766
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Justice, IL

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

Practicing in Justice, 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

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1093073538

Doctor of Dental Surgery

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 July 09, 2026

Record deactivated on July 09, 2026

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 8021 W 79TH ST, JUSTICE, IL 604581607 (Tel: 7084587766)

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Updated Business Mailing Address July 08, 2007

Registered at 8021 W 79TH ST, JUSTICE, IL 604581607 (Tel: 7084587766)

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Provider Name / Credentials Updated July 08, 2007

Recorded as ROGER SIENKIEWICZ, DDS

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

Dentist

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Initial NPI Registration & Enumeration March 14, 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: 1134253107
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2007
Last Update: July 08, 2007
Deactivation Date: July 09, 2026

Mailing Address

8021 W 79th St

Justice, IL 604581607

Phone: 7084587766

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.