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Deactivated NPI 1679879977 Deactivated / Inactive NPI Male Practitioner

Dr. Daniel Thomas Bodine , DDS

Dentist • Worth, 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. Daniel Bodine has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 03, 2011
NPI Deactivation Date July 10, 2024
Total Practice Duration ~13 Years of Practice (2011 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Bodine, DDS was a registered Dentist practicing in Worth, IL. Throughout an active medical career spanning 13 years, Dr. Bodine provided care at the practice location at 11130 SOUTH HARLEM AVE. until profile deactivation on 2024-07-10.

Practice Location & Contact Primary Location

Practice Address

11130 South Harlem Ave.

Worth, IL 60482

Telephone 7084486760
Fax 7084488869
Associated Practice Facility / Clinic
🏢 Daniel T Bodine Dds Pc Facility NPI 1164500534

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Worth, IL

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

Practicing in Worth, 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 019017118

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.

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 July 10, 2024

Record deactivated on July 10, 2024

NPI Profile Active February 03, 2011

NPI status registered as active in NPPES database

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Updated Practice Location February 03, 2011

Registered at 11130 SOUTH HARLEM AVE., WORTH, IL 60482 (Tel: 7084486760)

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Updated Business Mailing Address February 03, 2011

Registered at 11130 SOUTH HARLEM AVE., WORTH, IL 60482 (Tel: 7084486760)

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Provider Name / Credentials Updated February 03, 2011

Recorded as DANIEL BODINE, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2011

Dentist (License #019017118 in IL)

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Initial NPI Registration & Enumeration February 03, 2011

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: 1679879977
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 03, 2011
Last Update: February 03, 2011
Deactivation Date: July 10, 2024

Mailing Address

11130 South Harlem Ave.

Worth, IL 60482

Phone: 7084486760

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.