Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1891957874 Deactivated / Inactive NPI Male Practitioner

Dr. Gordon Edward Dammann , DDS

Dentist - General Practice • Lena, 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. Gordon Dammann has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 30, 2008
NPI Deactivation Date July 23, 2026
Total Practice Duration ~18 Years of Practice (2008 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Gordon Dammann, DDS was a registered Dentist - General Practice practicing in Lena, IL. Throughout an active medical career spanning 18 years, Dr. Dammann provided care at the practice location at 123 W RAILROAD ST until profile deactivation on 2026-07-23.

Practice Location & Contact Primary Location

Practice Address

123 W Railroad St

Lena, IL 610489038

Telephone 8153692611
Fax 8153692720

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lena, IL

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

Practicing in Lena, 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 19-013584

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. Jon Wolfe , DMD

Dentist - General Practice

NPI 1073723714

Doctor of Dental Medicine

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 23, 2026

Record deactivated on July 23, 2026

NPI Profile Active June 30, 2008

NPI status registered as active in NPPES database

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Updated Practice Location June 30, 2008

Registered at 123 W RAILROAD ST, LENA, IL 610489038 (Tel: 8153692611)

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Updated Business Mailing Address June 30, 2008

Registered at 123 W RAILROAD ST, POBOX 516, LENA, IL 610489038 (Tel: 8153692611)

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Provider Name / Credentials Updated June 30, 2008

Recorded as GORDON DAMMANN, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2008

Dentist (License #19-013584 in IL)

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Initial NPI Registration & Enumeration June 30, 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: 1891957874
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2008
Last Update: June 30, 2008
Deactivation Date: July 23, 2026

Mailing Address

123 W Railroad St, Pobox 516

Lena, IL 610489038

Phone: 8153692611

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.