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Deactivated NPI 1316151608 Deactivated / Inactive NPI Male Practitioner

Dr. Harry Thomas Hendrickson , DMD

Dentist - General Practice • Oracle, AZ

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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. Harry Hendrickson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 09, 2007
NPI Deactivation Date March 02, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Harry Hendrickson, DMD was a registered Dentist - General Practice practicing in Oracle, AZ. Throughout an active medical career spanning 11 years, Dr. Hendrickson provided care at the practice location at 1700 W AMERICAN AVE until profile deactivation on 2018-03-02.

Practice Location & Contact Primary Location

Practice Address

1700 W American Ave

Oracle, AZ 856236007

Telephone 5208963631

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Oracle, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Oracle, AZ (2600 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 AZ 2196

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 March 02, 2018

Record deactivated on March 02, 2018

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 1700 W AMERICAN AVE, ORACLE, AZ 856236007 (Tel: 5208963631)

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Updated Business Mailing Address July 08, 2007

Registered at 1700 W AMERICAN AVE, ORACLE, AZ 85623 (Tel: 5208963631)

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Provider Name / Credentials Updated July 08, 2007

Recorded as HARRY HENDRICKSON, DMD

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

Dentist (License #2196 in AZ)

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Initial NPI Registration & Enumeration May 09, 2007

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: 1316151608
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 09, 2007
Last Update: July 08, 2007
Deactivation Date: March 02, 2018

Mailing Address

1700 W American Ave

Oracle, AZ 85623

Phone: 5208963631

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.