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Deactivated NPI 1457525883 Deactivated / Inactive NPI Male Practitioner

Dr. Patrick J Connelly , DDS

Dentist • Beloit, WI

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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. Patrick Connelly has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 16, 2008
NPI Deactivation Date June 30, 2021
Total Practice Duration ~13 Years of Practice (2008 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Patrick Connelly, DDS was a registered Dentist practicing in Beloit, WI. Throughout an active medical career spanning 13 years, Dr. Connelly provided care at the practice location at 2101 RIVERSIDE DR until profile deactivation on 2021-06-30.

Practice Location & Contact Primary Location

Practice Address

2101 Riverside Dr

Beloit, WI 535112932

Telephone 6083654006
Fax 6083654870
Associated Practice Facility / Clinic
🏢 Drs Chapman & Connelly Dds Sc Facility NPI 1215030804

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Beloit, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.1 Yrs
Regional Practice Density
12 Specialists

Practicing in Beloit, WI (1850 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 WI 5002049

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1053440412

Doctor of Dental Surgery

Dr. Timothy Chapman , DDS

Dentist - General Practice

NPI 1417120379

Doctor of Dental Surgery

Dr. Sean Seelander , DMD

Dentist - General Practice

NPI 1841851946

Doctor of Dental Medicine

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 June 30, 2021

Record deactivated on June 30, 2021

NPI Profile Active April 16, 2008

NPI status registered as active in NPPES database

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Updated Practice Location April 16, 2008

Registered at 2101 RIVERSIDE DR, BELOIT, WI 535112932 (Tel: 6083654006)

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Updated Business Mailing Address April 16, 2008

Registered at 2101 RIVERSIDE DR, BELOIT, WI 535112932 (Tel: 6083654006)

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Provider Name / Credentials Updated April 16, 2008

Recorded as PATRICK CONNELLY, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2008

Dentist (License #5002049 in WI)

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Initial NPI Registration & Enumeration April 16, 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: 1457525883
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 16, 2008
Last Update: April 16, 2008
Deactivation Date: June 30, 2021

Mailing Address

2101 Riverside Dr

Beloit, WI 535112932

Phone: 6083654006

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.