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Deactivated NPI 1053543116 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Miroslav Galic , DDS

Dentist - General Practice • Oak Park, 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. Michael Galic has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 21, 2009
NPI Deactivation Date March 16, 2020
Total Practice Duration ~11 Years of Practice (2009 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Galic, DDS was a registered Dentist - General Practice practicing in Oak Park, IL. Throughout an active medical career spanning 11 years, Dr. Galic provided care at the practice location at 414 S OAK PARK AVE until profile deactivation on 2020-03-16.

Practice Location & Contact Primary Location

Practice Address

414 S Oak Park Ave
Ste., #2

Oak Park, IL 603023892

Telephone 7085244628
Fax 7085244710
Associated Practice Facility / Clinic
🏢 West Suburban Medical Center Facility NPI 1538339155

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Oak Park, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.0 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
54 Specialists

Practicing in Oak Park, 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 019024572

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

1 Associated Practitioners
NPI 1093813388

Doctor of Podiatric Medicine

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 March 16, 2020

Record deactivated on March 16, 2020

NPI Profile Active August 21, 2009

NPI status registered as active in NPPES database

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Updated Practice Location August 21, 2009

Registered at 414 S OAK PARK AVE, STE., #2, OAK PARK, IL 603023892 (Tel: 7085244628)

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Updated Business Mailing Address August 21, 2009

Registered at 414 S OAK PARK AVE, STE., #2, OAK PARK, IL 603023892 (Tel: 7085244628)

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Provider Name / Credentials Updated August 21, 2009

Recorded as MICHAEL GALIC, D.D.S.,

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 21, 2009

Dentist (License #019024572 in IL)

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Initial NPI Registration & Enumeration August 21, 2009

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: 1053543116
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 21, 2009
Last Update: August 21, 2009
Deactivation Date: March 16, 2020

Mailing Address

414 S Oak Park Ave, Ste., #2

Oak Park, IL 603023892

Phone: 7085244628

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.