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Deactivated NPI 1790803575 Deactivated / Inactive NPI Male Practitioner

Dr. Lawrence D Brucker , DDS

Dentist - General Practice • Beverly Hills, 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. Lawrence Brucker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 27, 2007
NPI Deactivation Date December 23, 2019
Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. Lawrence Brucker, DDS was a registered Dentist - General Practice practicing in Beverly Hills, CA. Throughout an active medical career spanning 12 years, Dr. Brucker provided care at the practice location at 9735 WILSHIRE BLVD STE 215 until profile deactivation on 2019-12-23.

Practice Location & Contact Primary Location

Practice Address

9735 Wilshire Blvd Ste 215

Beverly Hills, CA 902122110

Telephone 3102715155

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Beverly Hills, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
117 Specialists

Practicing in Beverly Hills, 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 12835

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1922390079

Doctor of Dental Surgery, Master of Science, FACP

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 December 23, 2019

Record deactivated on December 23, 2019

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 9735 WILSHIRE BLVD STE 215, BEVERLY HILLS, CA 902122110 (Tel: 3102715155)

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Updated Business Mailing Address July 08, 2007

Registered at 1835 HOLMBY AVE APT 201, LOS ANGELES, CA 900254913 (Tel: 3102715155)

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Provider Name / Credentials Updated July 08, 2007

Recorded as LAWRENCE BRUCKER, D.D.S

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

Dentist (License #12835 in CA)

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Initial NPI Registration & Enumeration March 27, 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: 1790803575
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 27, 2007
Last Update: July 08, 2007
Deactivation Date: December 23, 2019

Mailing Address

1835 Holmby Ave Apt 201

Los Angeles, CA 900254913

Phone: 3102715155

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.