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Deactivated NPI 1013148121 Deactivated / Inactive NPI Male Practitioner

Dr. Bill J Waters , DMD

Dentist - General Practice • Troy, 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. Bill Waters has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 06, 2009
NPI Deactivation Date April 01, 2019
Total Practice Duration ~10 Years of Practice (2009 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Bill Waters, DMD was a registered Dentist - General Practice practicing in Troy, IL. Throughout an active medical career spanning 10 years, Dr. Waters provided care at the practice location at 712 S MAIN ST until profile deactivation on 2019-04-01.

Practice Location & Contact Primary Location

Practice Address

712 S Main St

Troy, IL 622941817

Telephone 6186676828
Fax 6186676869

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Troy, IL

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

Practicing in Troy, 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 019018780

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.

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 April 01, 2019

Record deactivated on April 01, 2019

NPI Profile Active August 06, 2009

NPI status registered as active in NPPES database

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Updated Practice Location August 06, 2009

Registered at 712 S MAIN ST, TROY, IL 622941817 (Tel: 6186676828)

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Updated Business Mailing Address August 06, 2009

Registered at 712 S MAIN ST, TROY, IL 622941817 (Tel: 6186676828)

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Provider Name / Credentials Updated August 06, 2009

Recorded as BILL WATERS, D.M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2009

Dentist (License #019018780 in IL)

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Initial NPI Registration & Enumeration August 06, 2009

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: 1013148121
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 06, 2009
Last Update: August 06, 2009
Deactivation Date: April 01, 2019

Mailing Address

712 S Main St

Troy, IL 622941817

Phone: 6186676828

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.