Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1467559971 Deactivated / Inactive NPI Male Practitioner

Dr. Marvin Quincy Caudle , DDS

Dentist • Pine Bluff, AR

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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. Marvin Caudle has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 19, 2006
NPI Deactivation Date February 03, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Marvin Caudle, DDS was a registered Dentist practicing in Pine Bluff, AR. Throughout an active medical career spanning 16 years, Dr. Caudle provided care at the practice location at 1310 SOUTH LINDEN ST until profile deactivation on 2022-02-03.

Practice Location & Contact Primary Location

Practice Address

1310 South Linden St

Pine Bluff, AR 71603

Telephone 8705364602
Fax 8705368604
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Pine Bluff, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.3 Yrs
Regional Practice Density
5 Specialists

Practicing in Pine Bluff, AR (549 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 AR 2315

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

1 Associated Practitioners
NPI 1124125653

Doctor of Dental Surgery

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 February 03, 2022

Record deactivated on February 03, 2022

NPI Profile Active May 04, 2011

NPI status registered as active in NPPES database

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Updated Practice Location May 04, 2011

Registered at 1310 SOUTH LINDEN ST, PINE BLUFF, AR 71603 (Tel: 8705364602)

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Updated Business Mailing Address May 04, 2011

Registered at 1310 SOUTH LINDEN ST., PINE BLUFF, AR 71603 (Tel: 8705364602)

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Provider Name / Credentials Updated May 04, 2011

Recorded as MARVIN CAUDLE, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2011

Dentist (License #2315 in AR)

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Initial NPI Registration & Enumeration September 19, 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: 1467559971
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 19, 2006
Last Update: May 04, 2011
Deactivation Date: February 03, 2022

Mailing Address

1310 South Linden St.

Pine Bluff, AR 71603

Phone: 8705364602

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.