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Deactivated NPI 1972986263 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Greg Nadauld , DMD

Dentist • Phoenix, 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. Michael Nadauld has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 04, 2015
NPI Deactivation Date March 31, 2021
Total Practice Duration ~6 Years of Practice (2015 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Nadauld, DMD was a registered Dentist practicing in Phoenix, AZ. Throughout an active medical career spanning 6 years, Dr. Nadauld provided care at the practice location at 1526 W GLENDALE AVE STE 102 until profile deactivation on 2021-03-31.

Practice Location & Contact Primary Location

Practice Address

1526 W Glendale Ave Ste 102

Phoenix, AZ 850218576

Telephone 6029957279
Fax 6029957244
Associated Practice Facility / Clinic
🏢 Michael G. Nadauld, Dmd Pllc Facility NPI 1235722331

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.3 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
412 Specialists

Practicing in Phoenix, AZ (1999 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

CMS Verified: 2022-07-29
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License AZ 010962

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License UT 9593673

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

2 Associated Practitioners
Dr. Gary Oreskovich , DDS

Dentist - General Practice

NPI 1295846178

Doctor of Dental Surgery

Dr. Sawen Aziz , DMD

Dentist - General Practice

NPI 1881062297

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
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Medical Taxonomy / Specialty Registered (Primary Specialty) July 29, 2022

Dentist (License #010962 in AZ)

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Updated Practice Location May 04, 2021

Registered at 1526 W GLENDALE AVE STE 102, PHOENIX, AZ 850218576 (Tel: 6029957279)

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Updated Business Mailing Address May 04, 2021

Registered at 1526 W GLENDALE AVE STE 102, PHOENIX, AZ 850218576 (Tel: 6029957279)

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Provider Name / Credentials Updated May 04, 2021

Recorded as MICHAEL NADAULD, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2021

Dentist (License #9593673 in UT)

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NPI Profile Deactivated March 31, 2021

Record deactivated on March 31, 2021

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Updated Practice Location June 27, 2019

Registered at 785 E 200 S, SUITE # 1, LEHI, UT 840432291 (Tel: 8013318545)

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Updated Business Mailing Address June 27, 2019

Registered at PO BOX 970428, OREM, UT 840970309 (Tel: 8076911701)

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Provider Name / Credentials Updated June 27, 2019

Recorded as MICHAEL NADAULD, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2019

Dentist (License #9593673 in UT)

NPI Profile Active July 04, 2015

NPI status registered as active in NPPES database

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Updated Practice Location July 04, 2015

Registered at 1224 SE WASHINGTON BLVD, BARTLESVILLE, OK 740064425 (Tel: 9183333241)

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Updated Business Mailing Address July 04, 2015

Registered at 1224 SE WASHINGTON BLVD, BARTLESVILLE, OK 740064425 (Tel: 9183333241)

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Provider Name / Credentials Updated July 04, 2015

Recorded as MICHAEL NADAULD, D.M.D

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 04, 2015

Dentist (License #6744 in OK)

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Initial NPI Registration & Enumeration July 04, 2015

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: 1972986263
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 04, 2015
Last Update: July 29, 2022
Deactivation Date: March 31, 2021
Sole Proprietor: No

Mailing Address

1526 W Glendale Ave Ste 102

Phoenix, AZ 850218576

Phone: 6029957279

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.