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Deactivated NPI 1760633697 Deactivated / Inactive NPI Male Practitioner

Dr. Michael D Fedyna , DDS

Dentist - General Practice • South Barrington, 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. Michael Fedyna has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 09, 2008
NPI Deactivation Date January 17, 2018
Total Practice Duration ~10 Years of Practice (2008 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Fedyna, DDS was a registered Dentist - General Practice practicing in South Barrington, IL. Throughout an active medical career spanning 10 years, Dr. Fedyna provided care at the practice location at 8 EXECUTIVE CT until profile deactivation on 2018-01-17.

Practice Location & Contact Primary Location

Practice Address

8 Executive Ct
Suite 2

South Barrington, IL 600109531

Telephone 8473820700
Fax 8473820707
Associated Practice Facility / Clinic
🏢 Michael D. Fedyna Dds, Ltd. Facility NPI 1710004510

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in South Barrington, IL

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

Practicing in South Barrington, 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 019-020146

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
NPI 1164544391

Doctor of Dental Surgery

Dr. Elizabeth Tucker , DDS

Dentist - General Practice

NPI 1881870467

Doctor of Dental Surgery

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 January 17, 2018

Record deactivated on January 17, 2018

NPI Profile Active October 09, 2008

NPI status registered as active in NPPES database

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Updated Practice Location October 09, 2008

Registered at 8 EXECUTIVE CT, SUITE 2, SOUTH BARRINGTON, IL 600109531 (Tel: 8473820700)

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Updated Business Mailing Address October 09, 2008

Registered at 8 EXECUTIVE CT, SUITE 2, SOUTH BARRINGTON, IL 600109531 (Tel: 8473820700)

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Provider Name / Credentials Updated October 09, 2008

Recorded as MICHAEL FEDYNA, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2008

Dentist (License #019-020146 in IL)

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Initial NPI Registration & Enumeration October 09, 2008

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: 1760633697
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 09, 2008
Last Update: October 09, 2008
Deactivation Date: January 17, 2018

Mailing Address

8 Executive Ct, Suite 2

South Barrington, IL 600109531

Phone: 8473820700

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.