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Deactivated NPI 1225231053 Deactivated / Inactive NPI Male Practitioner

Dr. Glen Louis Orr , DDS

Dentist - General Practice • Oregon, 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. Glen Orr has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 08, 2007
NPI Deactivation Date May 22, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Glen Orr, DDS was a registered Dentist - General Practice practicing in Oregon, IL. Throughout an active medical career spanning 18 years, Dr. Orr provided care at the practice location at 4TH AND WASHINGTON STREETS until profile deactivation on 2025-05-22.

Practice Location & Contact Primary Location

Practice Address

4th And Washington Streets
Rock River Bank Building, Second Floor

Oregon, IL 610610235

Telephone 8157327268

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Oregon, IL

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

Practicing in Oregon, 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 19A12975

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.

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 May 22, 2025

Record deactivated on May 22, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 4TH AND WASHINGTON STREETS, ROCK RIVER BANK BUILDING, SECOND FLOOR, OREGON, IL 610610235 (Tel: 8157327268)

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Updated Business Mailing Address July 08, 2007

Registered at 4TH AND WASHINGTON STREETS, P.O BOX 235, ROCK RIVER BANK BUILDING, SECOND FLOOR, OREGON, IL 610610235 (Tel: 8157327268)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GLEN ORR, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #19A12975 in IL)

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Initial NPI Registration & Enumeration June 08, 2007

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: 1225231053
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 08, 2007
Last Update: July 08, 2007
Deactivation Date: May 22, 2025

Mailing Address

4th And Washington Streets, P.o Box 235, Rock River Bank Building, Second Floor

Oregon, IL 610610235

Phone: 8157327268

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.