Dr. Richard John Reilly , DDS
Dentist - General Practice • Prentice, WI
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. Richard Reilly has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Richard Reilly, DDS was a registered Dentist - General Practice practicing in Prentice, WI. Throughout an active medical career spanning 15 years, Dr. Reilly provided care at the practice location at 1209 RAILROAD AVE until profile deactivation on 2021-01-11.
Practice Location & Contact Primary Location
1209 Railroad Ave
Prentice, WI 54556
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Prentice, WI
Practicing in Prentice, WI (2459 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
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
Record deactivated on January 11, 2021
NPI status registered as active in NPPES database
Registered at 1209 RAILROAD AVE, PRENTICE, WI 54556 (Tel: 7154282908)
Registered at 1209 RAILROAD AVE, PO BOX 26, PRENTICE, WI 54556 (Tel: 7154282908)
Recorded as RICHARD REILLY, DDS
Dentist (License #2764 in WI)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1209 Railroad Ave, Po Box 26
Prentice, WI 54556
Phone: 7154282908
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