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Deactivated NPI 1710149695 Deactivated / Inactive NPI Male Practitioner

Dr. Jonathan H. Croll , DMD

Dentist • Naperville, 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. Jonathan Croll has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 01, 2008
NPI Deactivation Date June 16, 2021
Total Practice Duration ~13 Years of Practice (2008 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Jonathan Croll, DMD was a registered Dentist practicing in Naperville, IL. Throughout an active medical career spanning 13 years, Dr. Croll provided care at the practice location at 722 E CHICAGO AVE until profile deactivation on 2021-06-16.

Practice Location & Contact Primary Location

Practice Address

722 E Chicago Ave

Naperville, IL 605405506

Telephone 6309619093

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Naperville, IL

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

Practicing in Naperville, 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 019015310

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 June 16, 2021

Record deactivated on June 16, 2021

NPI Profile Active July 01, 2008

NPI status registered as active in NPPES database

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Updated Practice Location July 01, 2008

Registered at 722 E CHICAGO AVE, NAPERVILLE, IL 605405506 (Tel: 6309619093)

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Updated Business Mailing Address July 01, 2008

Registered at 722 E CHICAGO AVE, NAPERVILLE, IL 605405506 (Tel: 6309619093)

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Provider Name / Credentials Updated July 01, 2008

Recorded as JONATHAN CROLL, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2008

Dentist (License #019015310 in IL)

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Initial NPI Registration & Enumeration July 01, 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: 1710149695
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 01, 2008
Last Update: July 01, 2008
Deactivation Date: June 16, 2021

Mailing Address

722 E Chicago Ave

Naperville, IL 605405506

Phone: 6309619093

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.