Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1417963935 Deactivated / Inactive NPI Male Practitioner

Dr. Mark Stephen Friederich , DMD

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

Registration / Start Date August 01, 2006
NPI Deactivation Date March 09, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Mark Friederich, DMD was a registered Dentist - General Practice practicing in Troy, IL. Throughout an active medical career spanning 12 years, Dr. Friederich provided care at the practice location at 112 S MAIN ST until profile deactivation on 2018-03-09.

Practice Location & Contact Primary Location

Practice Address

112 S Main St

Troy, IL 622941408

Telephone 6186672595
Fax 6186670581

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

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
⚠️
NPI Profile Deactivated March 09, 2018

Record deactivated on March 09, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 112 S MAIN ST, TROY, IL 622941408 (Tel: 6186672595)

📍
Updated Business Mailing Address July 08, 2007

Registered at 112 S MAIN ST, TROY, IL 622941408 (Tel: 6186672595)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as MARK FRIEDERICH, D.M.D.

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

Dentist

🟢
Initial NPI Registration & Enumeration August 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Mark Friederich. Be the first to share your experience!

Sign in to leave a review for Dr. Mark Friederich

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1417963935
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2006
Last Update: July 08, 2007
Deactivation Date: March 09, 2018

Mailing Address

112 S Main St

Troy, IL 622941408

Phone: 6186672595

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.