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Deactivated NPI 1750416871 Deactivated / Inactive NPI Male Practitioner

Dr. William John Comport , DDS

Dentist - General Practice • San Jose, 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. William Comport has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 21, 2007
NPI Deactivation Date January 02, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. William Comport, DDS was a registered Dentist - General Practice practicing in San Jose, CA. Throughout an active medical career spanning 18 years, Dr. Comport provided care at the practice location at 4860 CHERRY AVE until profile deactivation on 2025-01-02.

Practice Location & Contact Primary Location

Practice Address

4860 Cherry Ave
Suite E

San Jose, CA 951183716

Telephone 4082654130
Fax 4082658003
Associated Practice Facility / Clinic
🏢 Dennis J. Widman, Dds, Inc. Facility NPI 1306034293

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in San Jose, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.0 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
606 Specialists

Practicing in San Jose, 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 20836

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 1972641082

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 January 02, 2025

Record deactivated on January 02, 2025

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 4860 CHERRY AVE, SUITE E, SAN JOSE, CA 951183716 (Tel: 4082654130)

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Updated Business Mailing Address July 08, 2007

Registered at 4860 CHERRY AVE, SUITE E, SAN JOSE, CA 951183716 (Tel: 4082654130)

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Provider Name / Credentials Updated July 08, 2007

Recorded as WILLIAM COMPORT, DDS

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

Dentist (License #20836 in CA)

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Initial NPI Registration & Enumeration February 21, 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: 1750416871
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2007
Last Update: July 08, 2007
Deactivation Date: January 02, 2025

Mailing Address

4860 Cherry Ave, Suite E

San Jose, CA 951183716

Phone: 4082654130

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.