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Deactivated NPI 1902006000 Deactivated / Inactive NPI Male Practitioner

Noel Liu

Dentist • Peoria, 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, Noel Liu has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 18, 2007
NPI Deactivation Date September 04, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Noel Liu was a registered Dentist practicing in Peoria, IL. Throughout an active medical career spanning 18 years, Noel Liu provided care at the practice location at 3127 N. UNIVERSITY ST. until profile deactivation on 2025-09-04.

Practice Location & Contact Primary Location

Practice Address

3127 N. University St.
Unit C

Peoria, IL 61604

Telephone 3096818888
Associated Practice Facility / Clinic
🏢 Secure Dental Llc Facility NPI 1154607422

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
65 Specialists

Practicing in Peoria, 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 19027468

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dr. Saad Soofi , DDS

Dentist - General Practice

NPI 1508357500

Doctor of Dental Surgery

NPI 1538447321

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
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NPI Profile Deactivated September 04, 2025

Record deactivated on September 04, 2025

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2025

Dentist (License #DS037845 in PA)

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2019

Dentist (License #12013063A in IN)

NPI Profile Active June 22, 2016

NPI status registered as active in NPPES database

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Updated Practice Location June 22, 2016

Registered at 3127 N. UNIVERSITY ST., UNIT C, PEORIA, IL 61604 (Tel: 3096818888)

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Updated Business Mailing Address June 22, 2016

Registered at 3127 N UNIVERSITY ST, PEORIA, IL 616041316 (Tel: 3096818888)

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Provider Name / Credentials Updated June 22, 2016

Recorded as NOEL LIU

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2016

Dentist (License #19027468 in IL)

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Initial NPI Registration & Enumeration July 18, 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: 1902006000
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2007
Last Update: June 22, 2016
Deactivation Date: September 04, 2025

Mailing Address

3127 N University St

Peoria, IL 616041316

Phone: 3096818888

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.