Dr. Deidre Childers , DDS
Dentist - General Practice • Marion, IL
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. Deidre Childers has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Deidre Childers, DDS was a registered Dentist - General Practice practicing in Marion, IL. Throughout an active medical career spanning 9 years, Dr. Childers provided care at the practice location at 2801 CIVIC CIRCLE BLVD STE 7 until profile deactivation on 2024-07-10.
Practice Location & Contact Primary Location
2801 Civic Circle Blvd Ste 7
Marion, IL 629595276
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Marion, IL
Practicing in Marion, IL (5581 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
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
Dentist - Pediatric Dentistry
Doctor of Dental Medicine
Career & Practice History Timeline
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Record deactivated on July 10, 2024
NPI status registered as active in NPPES database
Registered at 2801 CIVIC CIRCLE BLVD STE 7, MARION, IL 629595276 (Tel: 6189989868)
Registered at 2779 KOKOPELLI DR, MARION, IL 629595242
Recorded as DEIDRE CHILDERS, DDS
Dentist (License #019023024 in IL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2779 Kokopelli Dr
Marion, IL 629595242
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