Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1902910029 Deactivated / Inactive NPI Male Practitioner

Eugene Kardelis

Dentist - General Practice • Wyomissing, PA

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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, Eugene Kardelis has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 18, 2006
NPI Deactivation Date September 22, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Eugene Kardelis was a registered Dentist - General Practice practicing in Wyomissing, PA. Throughout an active medical career spanning 14 years, Eugene Kardelis provided care at the practice location at 1301 PENN AVE until profile deactivation on 2020-09-22.

Practice Location & Contact Primary Location

Practice Address

1301 Penn Ave

Wyomissing, PA 196102140

Telephone 6103726313
Associated Practice Facility / Clinic
🏢 Amdent Ltd Facility NPI 1558446146

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Wyomissing, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
44 Specialists

Practicing in Wyomissing, PA (4936 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 PA DS027961L

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

12 Associated Practitioners
Jay Toran

Dentist - General Practice

NPI 1013021955
NPI 1174079727

Doctor of Dental Medicine

Ivan Pelton

Dentist - General Practice

NPI 1235243189
Dr. Vincent Gerardi , DMD

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1437263373

Doctor of Dental Medicine

John Mcintyre

Dentist - Orthodontics and Dentofacial Orthopedics

NPI 1487740718
Steven Goldberg

Dentist - Oral and Maxillofacial Surgery

NPI 1538272026

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 September 22, 2020

Record deactivated on September 22, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1301 PENN AVE, WYOMISSING, PA 196102140 (Tel: 6103726313)

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Updated Business Mailing Address July 08, 2007

Registered at 1301 PENN AVE, WYOMISSING, PA 196102140 (Tel: 6103726313)

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Provider Name / Credentials Updated July 08, 2007

Recorded as EUGENE KARDELIS

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

Dentist (License #DS027961L in PA)

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Initial NPI Registration & Enumeration August 18, 2006

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: 1902910029
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2006
Last Update: July 08, 2007
Deactivation Date: September 22, 2020

Mailing Address

1301 Penn Ave

Wyomissing, PA 196102140

Phone: 6103726313

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.