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Deactivated NPI 1659469013 Deactivated / Inactive NPI Male Practitioner

William Staub

Dentist - General Practice • Birmingham, AL

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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, William Staub has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 11, 2006
NPI Deactivation Date January 13, 2021
Total Practice Duration ~15 Years of Practice (2006 – 2021)

Professional Overview & Biography Verified Profile Summary

William Staub was a registered Dentist - General Practice practicing in Birmingham, AL. Throughout an active medical career spanning 15 years, William Staub provided care at the practice location at 3570 INDEPENDENCE DR until profile deactivation on 2021-01-13.

Practice Location & Contact Primary Location

Practice Address

3570 Independence Dr

Birmingham, AL 352095710

Telephone 2058718200

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Birmingham, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.4 Yrs
Regional Practice Density
205 Specialists

Practicing in Birmingham, AL (1455 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 AL AL3976

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
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NPI Profile Deactivated January 13, 2021

Record deactivated on January 13, 2021

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 3570 INDEPENDENCE DR, BIRMINGHAM, AL 352095710 (Tel: 2058718200)

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Updated Business Mailing Address July 08, 2007

Registered at 3570 INDEPENDENCE DR, BIRMINGHAM, AL 352095710

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Provider Name / Credentials Updated July 08, 2007

Recorded as WILLIAM STAUB

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

Dentist (License #AL3976 in AL)

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Initial NPI Registration & Enumeration October 11, 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: 1659469013
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2006
Last Update: July 08, 2007
Deactivation Date: January 13, 2021

Mailing Address

3570 Independence Dr

Birmingham, AL 352095710

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.