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Deactivated NPI 1174650980 Deactivated / Inactive NPI Male Practitioner

Dr. Larry David Tabor , DDS

Dentist • Castro Valley, 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. Larry Tabor has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 28, 2007
NPI Deactivation Date September 06, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Larry Tabor, DDS was a registered Dentist practicing in Castro Valley, CA. Throughout an active medical career spanning 16 years, Dr. Tabor provided care at the practice location at 20600 LAKE CHABOT RD STE 203 until profile deactivation on 2023-09-06.

Practice Location & Contact Primary Location

Practice Address

20600 Lake Chabot Rd Ste 203

Castro Valley, CA 945465432

Telephone 5105810844
Fax 5105819705

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Castro Valley, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
29 Specialists

Practicing in Castro Valley, CA (15331 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 CA 45026

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.

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 September 06, 2023

Record deactivated on September 06, 2023

NPI Profile Active April 29, 2011

NPI status registered as active in NPPES database

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Updated Practice Location April 29, 2011

Registered at 20600 LAKE CHABOT RD STE 203, CASTRO VALLEY, CA 945465432 (Tel: 5105810844)

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Updated Business Mailing Address April 29, 2011

Registered at 20600 LAKE CHABOT RD STE 203, CASTRO VALLEY, CA 945465432 (Tel: 5105810844)

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Provider Name / Credentials Updated April 29, 2011

Recorded as LARRY TABOR, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2011

Dentist (License #45026 in CA)

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Initial NPI Registration & Enumeration February 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: 1174650980
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 28, 2007
Last Update: April 29, 2011
Deactivation Date: September 06, 2023

Mailing Address

20600 Lake Chabot Rd Ste 203

Castro Valley, CA 945465432

Phone: 5105810844

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.