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Deactivated NPI 1811992779 Deactivated / Inactive NPI Male Practitioner

Dr. Jeffrey D. Roy , DDS

Dentist - General Practice • Modesto, 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. Jeffrey Roy has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 16, 2005
NPI Deactivation Date September 11, 2020
Total Practice Duration ~15 Years of Practice (2005 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Jeffrey Roy, DDS was a registered Dentist - General Practice practicing in Modesto, CA. Throughout an active medical career spanning 15 years, Dr. Roy provided care at the practice location at 3609 COFFEE RD until profile deactivation on 2020-09-11.

Practice Location & Contact Primary Location

Practice Address

3609 Coffee Rd
Ste 5

Modesto, CA 953551100

Telephone 2095237777
Fax 2095237778

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Modesto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 1.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
133 Specialists

Practicing in Modesto, 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 30854

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
Dr. Mark Paden , DDS

Dentist - General Practice

NPI 1558412015

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 September 11, 2020

Record deactivated on September 11, 2020

NPI Profile Active August 15, 2007

NPI status registered as active in NPPES database

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Updated Practice Location August 15, 2007

Registered at 3609 COFFEE RD, STE 5, MODESTO, CA 953551100 (Tel: 2095237777)

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Updated Business Mailing Address August 15, 2007

Registered at 3609 COFFEE RD, STE 5, MODESTO, CA 953551100 (Tel: 2095237777)

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Provider Name / Credentials Updated August 15, 2007

Recorded as JEFFREY ROY, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2007

Dentist (License #30854 in CA)

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Initial NPI Registration & Enumeration June 16, 2005

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: 1811992779
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2005
Last Update: August 15, 2007
Deactivation Date: September 11, 2020

Mailing Address

3609 Coffee Rd, Ste 5

Modesto, CA 953551100

Phone: 2095237777

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.