Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1255592499 Deactivated / Inactive NPI Male Practitioner

Dr. Paul A. Bobak , DDS

Dentist • Lockport, 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. Paul Bobak has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 20, 2008
NPI Deactivation Date December 11, 2025
Total Practice Duration ~17 Years of Practice (2008 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Paul Bobak, DDS was a registered Dentist practicing in Lockport, IL. Throughout an active medical career spanning 17 years, Dr. Bobak provided care at the practice location at 230 E 8TH ST until profile deactivation on 2025-12-11.

Practice Location & Contact Primary Location

Practice Address

230 E 8th St
Suite #5

Lockport, IL 604413081

Telephone 8158386102
Fax 8158386281
Associated Practice Facility / Clinic
🏢 Lockport Dental Group, Ltd Facility NPI 1568467702

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Lockport, IL

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

Practicing in Lockport, 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 019.014524

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

5 Associated Practitioners
NPI 1114188364

Doctor of Dental Surgery

NPI 1437310687

Doctor of Dental Surgery

Dr. Gregory Bobak , DDS

Dentist - General Practice

NPI 1699037424

Doctor of Dental Surgery

NPI 1780845933

Doctor of Dental Medicine

NPI 1902067143

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 December 11, 2025

Record deactivated on December 11, 2025

NPI Profile Active June 20, 2008

NPI status registered as active in NPPES database

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Updated Practice Location June 20, 2008

Registered at 230 E 8TH ST, SUITE #5, LOCKPORT, IL 604413081 (Tel: 8158386102)

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Updated Business Mailing Address June 20, 2008

Registered at 230 E 8TH ST, SUITE #5, LOCKPORT, IL 604413081 (Tel: 8158386102)

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Provider Name / Credentials Updated June 20, 2008

Recorded as PAUL BOBAK, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2008

Dentist (License #019.014524 in IL)

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Initial NPI Registration & Enumeration June 20, 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: 1255592499
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2008
Last Update: June 20, 2008
Deactivation Date: December 11, 2025

Mailing Address

230 E 8th St, Suite #5

Lockport, IL 604413081

Phone: 8158386102

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.