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Deactivated NPI 1790886612 Deactivated / Inactive NPI Male Practitioner

Dr. Stephen John Obrien , DDS

Dentist - General Practice • Fresno, 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. Stephen Obrien has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 25, 2006
NPI Deactivation Date April 15, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Obrien, DDS was a registered Dentist - General Practice practicing in Fresno, CA. Throughout an active medical career spanning 14 years, Dr. Obrien provided care at the practice location at 7730 N FRESNO ST until profile deactivation on 2020-04-15.

Practice Location & Contact Primary Location

Practice Address

7730 N Fresno St
Suite 103

Fresno, CA 937202408

Telephone 5594385111
Fax 5594385120
Associated Practice Facility / Clinic
🏢 Kaitlyn P. O'brien D.d.s. Facility NPI 1417330614

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fresno, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
276 Specialists

Practicing in Fresno, 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 29090

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 1457711541

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 April 15, 2020

Record deactivated on April 15, 2020

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 7730 N FRESNO ST, SUITE 103, FRESNO, CA 937202408 (Tel: 5594385111)

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Updated Business Mailing Address July 08, 2007

Registered at 7730 N FRESNO ST, SUITE 103, FRESNO, CA 937202408 (Tel: 5594385111)

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Provider Name / Credentials Updated July 08, 2007

Recorded as STEPHEN OBRIEN, D.D.S.

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

Dentist (License #29090 in CA)

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Initial NPI Registration & Enumeration September 25, 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: 1790886612
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 25, 2006
Last Update: July 08, 2007
Deactivation Date: April 15, 2020

Mailing Address

7730 N Fresno St, Suite 103

Fresno, CA 937202408

Phone: 5594385111

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.