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Deactivated NPI 1780674481 Deactivated / Inactive NPI Male Practitioner

Dr. Veerdhaval V Pitale , DDS

Dentist • Salem, 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. Veerdhaval Pitale has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 24, 2005
NPI Deactivation Date September 19, 2022
Total Practice Duration ~17 Years of Practice (2005 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Veerdhaval Pitale, DDS was a registered Dentist practicing in Salem, IL. Throughout an active medical career spanning 17 years, Dr. Pitale provided care at the practice location at 1275 HAWTHORN RD until profile deactivation on 2022-09-19.

Practice Location & Contact Primary Location

Practice Address

1275 Hawthorn Rd

Salem, IL 628811028

Telephone 6185484545
Fax 6185484577
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Salem, IL

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

Practicing in Salem, 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 019015235

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

9 Associated Practitioners
Dr. Seth Hahs , MD

Internal Medicine

NPI 1154542132

Doctor of Medicine (M.D.)

NPI 1174619555

Doctor of Medicine (M.D.)

Deborah Malone , CNP

Nurse Practitioner

NPI 1356352165

Certified Nurse Practitioner

Amy Mclean , APRN, NP-C, PMHNP-BC

Clinical Nurse Specialist - Psychiatric/Mental Health

NPI 1356796874

Advanced Practice Registered Nurse, Nurse Practitioner (Certified), Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Sara Mckinzie , WHNP-BC

Nurse Practitioner - Women's Health

NPI 1417371485

Women's Health Nurse Practitioner (Board Certified)

Staci Burleyson , FNP-C

Nurse Practitioner - Family

NPI 1487159943

Family Nurse Practitioner (Certified)

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 September 19, 2022

Record deactivated on September 19, 2022

NPI Profile Active November 21, 2011

NPI status registered as active in NPPES database

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Updated Practice Location November 21, 2011

Registered at 1275 HAWTHORN RD, SALEM, IL 628811028 (Tel: 6185484545)

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Updated Business Mailing Address November 21, 2011

Registered at 1275 HAWTHORN RD, SALEM, IL 628811028 (Tel: 6185484545)

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Provider Name / Credentials Updated November 21, 2011

Recorded as VEERDHAVAL PITALE, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 21, 2011

Dentist (License #019015235 in IL)

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Initial NPI Registration & Enumeration October 24, 2005

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: 1780674481
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2005
Last Update: November 21, 2011
Deactivation Date: September 19, 2022

Mailing Address

1275 Hawthorn Rd

Salem, IL 628811028

Phone: 6185484545

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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