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Deactivated NPI 1881876563 Deactivated / Inactive NPI Male Practitioner

Dr. Clyde M. Dick , DDS

Dentist - General Practice • Brighton, CO

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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. Clyde Dick has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 04, 2007
NPI Deactivation Date September 13, 2021
Total Practice Duration ~14 Years of Practice (2007 – 2021)

Professional Overview & Biography Verified Profile Summary

Dr. Clyde Dick, DDS was a registered Dentist - General Practice practicing in Brighton, CO. Throughout an active medical career spanning 14 years, Dr. Dick provided care at the practice location at 530 E BROMLEY LN until profile deactivation on 2021-09-13.

Practice Location & Contact Primary Location

Practice Address

530 E Bromley Ln
#100

Brighton, CO 806013298

Telephone 3036379047
Fax 3036379046
Associated Practice Facility / Clinic
🏢 Perfect Teeth - Brighton P.c. Facility NPI 1255451167

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Brighton, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.5 Yrs
Regional Practice Density
26 Specialists

Practicing in Brighton, CO (2613 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 CO 3097

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

2 Associated Practitioners
Dr. Nina Gomenyuk , DDS

Dentist - General Practice

NPI 1457587297

Doctor of Dental Surgery

Taylor Foster

Dentist - General Practice

NPI 1922661552

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 13, 2021

Record deactivated on September 13, 2021

NPI Profile Active December 04, 2007

NPI status registered as active in NPPES database

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Updated Practice Location December 04, 2007

Registered at 530 E BROMLEY LN, #100, BRIGHTON, CO 806013298 (Tel: 3036379047)

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Updated Business Mailing Address December 04, 2007

Registered at 530 E BROMLEY LN, #100, BRIGHTON, CO 806013298 (Tel: 3036379047)

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Provider Name / Credentials Updated December 04, 2007

Recorded as CLYDE DICK, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2007

Dentist (License #3097 in CO)

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Initial NPI Registration & Enumeration December 04, 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: 1881876563
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2007
Last Update: December 04, 2007
Deactivation Date: September 13, 2021

Mailing Address

530 E Bromley Ln, #100

Brighton, CO 806013298

Phone: 3036379047

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.