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Deactivated NPI 1699813857 Deactivated / Inactive NPI Female Practitioner

Dr. Gwendolyn Hightower Testa , DDS

Dentist - General Practice • Derby, CT

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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. Gwendolyn Testa has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 01, 2007
NPI Deactivation Date June 18, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Gwendolyn Testa, DDS was a registered Dentist - General Practice practicing in Derby, CT. Throughout an active medical career spanning 11 years, Dr. Testa provided care at the practice location at 4 MOUNTAIN ST until profile deactivation on 2018-06-18.

Practice Location & Contact Primary Location

Practice Address

4 Mountain St

Derby, CT 064181308

Telephone 2037365460
Fax 2037365462

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Derby, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.3 Yrs
Regional Practice Density
5 Specialists

Practicing in Derby, CT (1821 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 CT 4565

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

3 Associated Practitioners
Melissa Sipos , RDH

Dental Hygienist

NPI 1093956294

Registered Dental Hygienist

Cecilia Fernandes , RDH

Dental Hygienist

NPI 1255865200

Registered Dental Hygienist

NPI 1508383993

DENTALHYGIENIST

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 June 18, 2018

Record deactivated on June 18, 2018

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 4 MOUNTAIN ST, DERBY, CT 064181308 (Tel: 2037365460)

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Updated Business Mailing Address July 08, 2007

Registered at 60 CIRCLE DR, STRATFORD, CT 066141004 (Tel: 2033869092)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GWENDOLYN TESTA, D.D.S.

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

Dentist (License #4565 in CT)

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Initial NPI Registration & Enumeration February 01, 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: 1699813857
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 01, 2007
Last Update: July 08, 2007
Deactivation Date: June 18, 2018

Mailing Address

60 Circle Dr

Stratford, CT 066141004

Phone: 2033869092

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.