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Deactivated NPI 1679728224 Deactivated / Inactive NPI Male Practitioner

Dr. Ronald Smith , DDS

Dentist - General Practice • La Grange, 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. Ronald Smith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 24, 2008
NPI Deactivation Date January 03, 2024
Total Practice Duration ~16 Years of Practice (2008 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Ronald Smith, DDS was a registered Dentist - General Practice practicing in La Grange, IL. Throughout an active medical career spanning 16 years, Dr. Smith provided care at the practice location at 4711 WILLOW SPRINGS RD until profile deactivation on 2024-01-03.

Practice Location & Contact Primary Location

Practice Address

4711 Willow Springs Rd

La Grange, IL 605256143

Telephone 7083543094
Fax 7083542646
Associated Practice Facility / Clinic
🏢 Meera Mahajan Dds Ltd Facility NPI 1407929052

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in La Grange, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 5.0 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
12 Specialists

Practicing in La Grange, 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 15161

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
Dr. Joseph Balice , DDS

Dentist - General Practice

NPI 1578650743

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 January 03, 2024

Record deactivated on January 03, 2024

NPI Profile Active November 24, 2008

NPI status registered as active in NPPES database

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Updated Practice Location November 24, 2008

Registered at 4711 WILLOW SPRINGS RD, LA GRANGE, IL 605256143 (Tel: 7083543094)

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Updated Business Mailing Address November 24, 2008

Registered at 4711 WILLOW SPRINGS RD, LA GRANGE, IL 60525 (Tel: 7083543094)

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Provider Name / Credentials Updated November 24, 2008

Recorded as RONALD SMITH, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 24, 2008

Dentist (License #15161 in IL)

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Initial NPI Registration & Enumeration November 24, 2008

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: 1679728224
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 24, 2008
Last Update: November 24, 2008
Deactivation Date: January 03, 2024

Mailing Address

4711 Willow Springs Rd

La Grange, IL 60525

Phone: 7083543094

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.