Dr. Douglas Weidman , DDS
Dentist - General Practice • Skokie, 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. Douglas Weidman has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Douglas Weidman, DDS was a registered Dentist - General Practice practicing in Skokie, IL. Throughout an active medical career spanning 14 years, Dr. Weidman provided care at the practice location at 64 OLD ORCHARD CENTER until profile deactivation on 2020-05-11.
Practice Location & Contact Primary Location
64 Old Orchard Center
Suite 611
Skokie, IL 600771421
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Skokie, IL
Practicing in Skokie, IL (5581 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
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
Social Worker - Clinical
Psychiatry & Neurology - Child & Adolescent Psychiatry
Doctor of Medicine (M.D.)
Physician Assistant - Surgical
Physician Assistant (Certified)
Dentist - Periodontics
Doctor of Dental Surgery
Dentist - General Practice
Doctor of Dental Surgery
Social Worker - Clinical
Licensed Clinical Social Worker
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on May 11, 2020
NPI status registered as active in NPPES database
Registered at 64 OLD ORCHARD CENTER, SUITE 611, SKOKIE, IL 600771421 (Tel: 8476760484)
Registered at 64 OLD ORCHARD CENTER, SUITE 611, SKOKIE, IL 600771421 (Tel: 8476760484)
Recorded as DOUGLAS WEIDMAN, DDS
Dentist (License #1915600 in IL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
64 Old Orchard Center, Suite 611
Skokie, IL 600771421
Phone: 8476760484
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