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Deactivated NPI 1407945744 Deactivated / Inactive NPI Male Practitioner

Dr. Michael Charles Boren , DDS

Dentist - General Practice • Pueblo, 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. Michael Boren has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 12, 2006
NPI Deactivation Date February 24, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Michael Boren, DDS was a registered Dentist - General Practice practicing in Pueblo, CO. Throughout an active medical career spanning 14 years, Dr. Boren provided care at the practice location at 3559 BALTIMORE AVE until profile deactivation on 2020-02-24.

Practice Location & Contact Primary Location

Practice Address

3559 Baltimore Ave

Pueblo, CO 810081521

Telephone 7195438109
Fax 7195462877

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Pueblo, CO

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

Practicing in Pueblo, 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 7499

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.

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 February 24, 2020

Record deactivated on February 24, 2020

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 09, 2007

Registered at 3559 BALTIMORE AVE, PUEBLO, CO 810081521 (Tel: 7195438109)

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Updated Business Mailing Address July 09, 2007

Registered at 3559 BALTIMORE AVE, PUEBLO, CO 810081521 (Tel: 7195438109)

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Provider Name / Credentials Updated July 09, 2007

Recorded as MICHAEL BOREN, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #7499 in CO)

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Initial NPI Registration & Enumeration October 12, 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: 1407945744
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2006
Last Update: July 09, 2007
Deactivation Date: February 24, 2020

Mailing Address

3559 Baltimore Ave

Pueblo, CO 810081521

Phone: 7195438109

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.