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Deactivated NPI 1669926150 Deactivated / Inactive NPI Male Practitioner

Brian Haddad

Dentist • Lombard, 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, Brian Haddad has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 12, 2016
NPI Deactivation Date August 17, 2020
Total Practice Duration ~4 Years of Practice (2016 – 2020)

Professional Overview & Biography Verified Profile Summary

Brian Haddad was a registered Dentist practicing in Lombard, IL. Throughout an active medical career spanning 4 years, Brian Haddad provided care at the practice location at 210 W 17TH PL until profile deactivation on 2020-08-17.

Practice Location & Contact Primary Location

Practice Address

210 W 17th Pl

Lombard, IL 601486140

Telephone 6306701478

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Lombard, IL

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

Practicing in Lombard, 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 019.030871

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.

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 August 17, 2020

Record deactivated on August 17, 2020

NPI Profile Active August 12, 2016

NPI status registered as active in NPPES database

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Updated Practice Location August 12, 2016

Registered at 210 W 17TH PL, LOMBARD, IL 601486140 (Tel: 6306701478)

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Updated Business Mailing Address August 12, 2016

Registered at 210 W 17TH PL, LOMBARD, IL 601486140

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Provider Name / Credentials Updated August 12, 2016

Recorded as BRIAN HADDAD

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2016

Dentist (License #019.030871 in IL)

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Initial NPI Registration & Enumeration August 12, 2016

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: 1669926150
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2016
Last Update: August 12, 2016
Deactivation Date: August 17, 2020

Mailing Address

210 W 17th Pl

Lombard, IL 601486140

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.