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Deactivated NPI 1205010063 Deactivated / Inactive NPI Male Practitioner

Dr. Lynn Ivan Nilson , DDS

Dentist - General Practice • Bakersfield, CA

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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. Lynn Nilson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 28, 2007
NPI Deactivation Date February 15, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Lynn Nilson, DDS was a registered Dentist - General Practice practicing in Bakersfield, CA. Throughout an active medical career spanning 16 years, Dr. Nilson provided care at the practice location at 9401 GREENACRES DR until profile deactivation on 2023-02-15.

Practice Location & Contact Primary Location

Practice Address

9401 Greenacres Dr

Bakersfield, CA 93312

Telephone 7603794001
Fax 7603794004

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bakersfield, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
189 Specialists

Practicing in Bakersfield, CA (18734 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 CA CA20078

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 February 15, 2023

Record deactivated on February 15, 2023

NPI Profile Active December 28, 2007

NPI status registered as active in NPPES database

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Updated Practice Location December 28, 2007

Registered at 9401 GREENACRES DR, BAKERSFIELD, CA 93312 (Tel: 7603794001)

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Updated Business Mailing Address December 28, 2007

Registered at 9401 GREENACRES DR, BAKERSFIELD, CA 93312 (Tel: 7603794001)

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Provider Name / Credentials Updated December 28, 2007

Recorded as LYNN NILSON, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2007

Dentist (License #CA20078 in CA)

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Initial NPI Registration & Enumeration December 28, 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: 1205010063
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 28, 2007
Last Update: December 28, 2007
Deactivation Date: February 15, 2023

Mailing Address

9401 Greenacres Dr

Bakersfield, CA 93312

Phone: 7603794001

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.