Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1659374759 Deactivated / Inactive NPI Male Practitioner

Dr. Howard Leon Waldrop , DDS

Dentist - General Practice • Peoria, 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. Howard Waldrop has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 23, 2005
NPI Deactivation Date July 06, 2022
Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Howard Waldrop, DDS was a registered Dentist - General Practice practicing in Peoria, IL. Throughout an active medical career spanning 17 years, Dr. Waldrop provided care at the practice location at 1717 W CANDLETREE DR until profile deactivation on 2022-07-06.

Practice Location & Contact Primary Location

Practice Address

1717 W Candletree Dr
Ste 1a

Peoria, IL 616148502

Telephone 3096916402

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Peoria, IL

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

Practicing in Peoria, 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 19015005

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
Dr. Courtney Stivers , PhD, LMFT

Marriage & Family Therapist

NPI 1275713331

Doctor of Philosophy (Ph.D.), Licensed Marriage and Family Therapist

Dr. Ryan Stivers , PhD, LMFT, LPC

Marriage & Family Therapist

NPI 1316268113

Doctor of Philosophy (Ph.D.), Licensed Marriage and Family Therapist, Licensed Professional Counselor

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated July 06, 2022

Record deactivated on July 06, 2022

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1717 W CANDLETREE DR, STE 1A, PEORIA, IL 616148502 (Tel: 3096916402)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1717 W CANDLETREE DR, STE 1A, PEORIA, IL 616148502 (Tel: 3096916402)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as HOWARD WALDROP, D.D.S.

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

Dentist (License #19015005 in IL)

🟢
Initial NPI Registration & Enumeration May 23, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Howard Waldrop. Be the first to share your experience!

Sign in to leave a review for Dr. Howard Waldrop

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1659374759
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2005
Last Update: July 08, 2007
Deactivation Date: July 06, 2022

Mailing Address

1717 W Candletree Dr, Ste 1a

Peoria, IL 616148502

Phone: 3096916402

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.