Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1649336702 Deactivated / Inactive NPI Male Practitioner

Dr. Daniel Louis Jaconetti , DDS

Dentist - General Practice • Norridge, 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. Daniel Jaconetti has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 30, 2006
NPI Deactivation Date April 16, 2007
Total Practice Duration ~1 Years of Practice (2006 – 2007)

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Jaconetti, DDS was a registered Dentist - General Practice practicing in Norridge, IL. Throughout an active medical career spanning 1 years, Dr. Jaconetti provided care at the practice location at 7601 W MONTROSE AVE until profile deactivation on 2007-04-16.

Practice Location & Contact Primary Location

Practice Address

7601 W Montrose Ave
Suite 3

Norridge, IL 607061000

Telephone 7084538700
Fax 7084531564
Associated Practice Facility / Clinic
🏢 Daniel L. Jaconetti Dds Ltd Facility NPI 1902953540

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Norridge, IL

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

Practicing in Norridge, 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 019-018380

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

2 Associated Practitioners
NPI 1295061455

PHYSICALTHERAPIST

Dr. Juan Zabaleta , MD

Family Medicine - Adult Medicine

NPI 1689857021

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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Updated Practice Location April 15, 2014

Registered at 7601 W MONTROSE AVE, SUITE 3, NORRIDGE, IL 607061000 (Tel: 7084538700)

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Updated Business Mailing Address April 15, 2014

Registered at 7601 W MONTROSE AVE, SUITE 3, NORRIDGE, IL 607061000 (Tel: 7084538700)

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Provider Name / Credentials Updated April 15, 2014

Recorded as DANIEL JACONETTI, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2014

Dentist (License #019-018380 in IL)

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NPI Profile Reactivated March 03, 2014

Record officially reactivated for active practice on March 03, 2014

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NPI Profile Deactivated April 16, 2007

Record deactivated on April 16, 2007

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Initial NPI Registration & Enumeration December 30, 2006

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: 1649336702
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 30, 2006
Last Update: April 15, 2014
Deactivation Date: April 16, 2007
Sole Proprietor: No

Mailing Address

7601 W Montrose Ave, Suite 3

Norridge, IL 607061000

Phone: 7084538700

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.