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Deactivated NPI 1497826127 Deactivated / Inactive NPI Male Practitioner

Dr. Edward Henry Obrock , DDS

Dentist • Quincy, 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. Edward Obrock has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 13, 2006
NPI Deactivation Date September 18, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Edward Obrock, DDS was a registered Dentist practicing in Quincy, IL. Throughout an active medical career spanning 19 years, Dr. Obrock provided care at the practice location at 334 S 8TH ST until profile deactivation on 2025-09-18.

Practice Location & Contact Primary Location

Practice Address

334 S 8th St

Quincy, IL 62301

Telephone 2172224180
Associated Practice Facility / Clinic
🏢 Paul E. Obrock, Dmd, Pc Facility NPI 1184746638

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Quincy, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
22 Specialists

Practicing in Quincy, 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 550052

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

1 Associated Practitioners
Dr. Paul Obrock , DMD

Dentist - General Practice

NPI 1720100258

Doctor of Dental Medicine

Career & Practice History Timeline

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

8 Historical Events
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NPI Profile Deactivated September 18, 2025

Record deactivated on September 18, 2025

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2025

Dentist (License #19A10680 in IL)

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 334 S 8TH ST, QUINCY, IL 62301 (Tel: 2172224180)

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Updated Business Mailing Address July 08, 2007

Registered at 2038 W WILMAR DR, QUINCY, IL 62301 (Tel: 2172224117)

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Provider Name / Credentials Updated July 08, 2007

Recorded as EDWARD OBROCK, DDS

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

Dentist (License #550052 in IL)

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Initial NPI Registration & Enumeration November 13, 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: 1497826127
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 13, 2006
Last Update: July 08, 2007
Deactivation Date: September 18, 2025

Mailing Address

2038 W Wilmar Dr

Quincy, IL 62301

Phone: 2172224117

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.